Jordan, Mary

Jordan, Mary is an individual health care provider with primary practice located at 2001 Bloomington Avenue S Community-University Health Care Center, Minneapolis MN 55404-3074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jordan, Mary can be contacted via phone (612) 638-0700.

Contact Information

Primary practice address
2001 Bloomington Avenue S Community-University Health Care Center Minneapolis MN 55404-3074
Phone: (612) 638-0700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R125380-1 Minnesota

Profile Details

NPI number 1477561991
LBN Legal business name Jordan, Mary
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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