Jordan, Karen Elizabeth

Jordan, Karen Elizabeth is an individual health care provider with primary practice located at 3555 South National Avenue , Springfield MO 65807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jordan, Karen Elizabeth can be contacted via phone (417) 875-2520.

Contact Information

Primary practice address
3555 South National Avenue Springfield MO 65807
Phone: (417) 875-2520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2017006975 Missouri

Profile Details

NPI number 1720125891
LBN Legal business name Jordan, Karen Elizabeth
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 27th, 2018 - about 6 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 1720125891 NPPES
Missouri MEDICAID 420042637
Missouri Other 2017006975

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