Warren, Jordan W

Warren, Jordan W is an individual health care provider with primary practice located at 137 Lancaster St , Crab Orchard KY 40419-9628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Warren, Jordan W can be contacted via phone (270) 858-6655.

Contact Information

Primary practice address
137 Lancaster St Crab Orchard KY 40419-9628
Phone: (270) 858-6655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 015970 Kentucky

Profile Details

NPI number 1033842380
LBN Legal business name Warren, Jordan W
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2022
Last updated Jul 3rd, 2023 - about last year

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 1033842380 NPPES
Kentucky MEDICAID 7100829030

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