Jordan, Patricia Ann

Jordan, Patricia Ann is an sole proprietor health care provider with primary practice located at 2322 E Roeser Rd , Phoenix AZ 85040-3405. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Jordan, Patricia Ann can be contacted via phone (480) 216-2199.

Contact Information

Primary practice address
2322 E Roeser Rd Phoenix AZ 85040-3405
Phone: (480) 216-2199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN 176064 California
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP036459 Arizona

Profile Details

NPI number 1831248384
LBN Legal business name Jordan, Patricia Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Feb 20th, 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 1831248384 NPPES
California MEDICAID RVN000620
California MEDICAID EPS010880

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