Jordan, Megan E.
Jordan, Megan E. is an individual health care provider with primary practice located at 1353 Dorchester Ave , Dorchester MA 02122-2932. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jordan, Megan E. can be contacted via phone (617) 288-3230.Contact Information
Primary practice address
1353 Dorchester Ave
Dorchester MA 02122-2932
Phone: (617) 288-3230
Fax: (617) 825-4972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 258635 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 258635 | Massachusetts |
Profile Details
NPI number | 1619063674 |
---|---|
LBN Legal business name | Jordan, Megan E. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2006 |
Last updated | Mar 7th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619063674 | NPPES |
Massachusetts | Other | MC0640777I | STATE CONTROLLED LICENSE |
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