Jordan, Amy Marie

Jordan, Amy Marie is an individual health care provider with primary practice located at 1900 Ridge Rd Ste 130 , West Seneca NY 14224-3332. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jordan, Amy Marie can be contacted via phone (716) 675-0707.

Contact Information

Primary practice address
1900 Ridge Rd Ste 130 West Seneca NY 14224-3332
Phone: (716) 675-0707
Fax: (716) 961-3706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2818501 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 345378 New York

Profile Details

NPI number 1225353808
LBN Legal business name Jordan, Amy Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated May 13th, 2020 - about 4 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 1225353808 NPPES
New York MEDICAID 05954178

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