Jordan, Chenaull Van

Jordan, Chenaull Van is an sole proprietor health care provider with primary practice located at 4967 Crooks Rd Suite 130, Troy MI 48098-5801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jordan, Chenaull Van can be contacted via phone (248) 952-1601.

Contact Information

Primary practice address
4967 Crooks Rd Suite 130 Troy MI 48098-5801
Phone: (248) 952-1601
Fax: (248) 952-0192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704218917 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7702 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704218917 Michigan

Profile Details

NPI number 1972892305
LBN Legal business name Jordan, Chenaull Van
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2011
Last updated Apr 15th, 2022 - about 2 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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