Jordan, Judy Ann

Jordan, Judy Ann is an individual health care provider with primary practice located at 7321 Nw 79Th St , Kansas City MO 64152-2150. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Jordan, Judy Ann can be contacted via phone (816) 853-9354.

Contact Information

Primary practice address
7321 Nw 79Th St Kansas City MO 64152-2150
Phone: (816) 853-9354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2010024055 Missouri
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 14-130459-062 Kansas

Profile Details

NPI number 1639564313
LBN Legal business name Jordan, Judy Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Mar 31st, 2015 - about 9 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 1639564313 NPPES
Kansas MEDICAID 100098080A

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