Jordan, Minerva

Jordan, Minerva is an individual health care provider with primary practice located at 4321 Eliot Ct , Modesto CA 95356-8936. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Jordan, Minerva can be contacted via phone (209) 595-8396.

Contact Information

Primary practice address
4321 Eliot Ct Modesto CA 95356-8936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 836048 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 836048 California

Profile Details

NPI number 1023671732
LBN Legal business name Jordan, Minerva
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2019
Last updated Apr 23rd, 2019 - about 5 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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