Reuter, Jordan

Reuter, Jordan is an sole proprietor health care provider with primary practice located at 9015 N 3Rd St , Phoenix AZ 85020-2444. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Reuter, Jordan can be contacted via phone (480) 882-4545.

Contact Information

Primary practice address
9015 N 3Rd St Phoenix AZ 85020-2444
Phone: (480) 882-4545
Fax: (602) 714-3755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 293752 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 293752 Arizona

Profile Details

NPI number 1295411288
LBN Legal business name Reuter, Jordan
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2023
Last updated Oct 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295411288 NPPES
Arizona MEDICAID 142776

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