Jordan, Roberta Marie

Jordan, Roberta Marie is an individual health care provider with primary practice located at 6452 City West Parkway New Kingdom Healthcare, Eden Prairie MN 55344-0010. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jordan, Roberta Marie can be contacted via phone (952) 999-0333.

Contact Information

Primary practice address
6452 City West Parkway New Kingdom Healthcare Eden Prairie MN 55344-0010
Phone: (952) 999-0333
Fax: (952) 300-2558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71012163A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8127 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 458 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704244874 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71012163A Indiana

Profile Details

NPI number 1649550492
LBN Legal business name Jordan, Roberta Marie
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Nov 6th, 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.

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