Jordan, Jessica

Jordan, Jessica is an individual health care provider with primary practice located at 2795 Pilot Knob Rd Suite 100, Eagan MN 55121-1119. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jordan, Jessica can be contacted via phone (651) 994-9644.

Contact Information

Primary practice address
2795 Pilot Knob Rd Suite 100 Eagan MN 55121-1119
Phone: (651) 994-9644
Fax: (651) 994-8962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7629 Minnesota

Profile Details

NPI number 1568502540
LBN Legal business name Jordan, Jessica
Credentials MACCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 30th, 2015 - about 10 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 1568502540 NPPES
Minnesota Other 965S3TR BCBS
Minnesota MEDICAID 275401100 BCBS
Minnesota Other 4600794 BCBS
Minnesota Other HP41148 BCBS

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