Wilson, Jordan

Wilson, Jordan is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wilson, Jordan can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
3555 S National Ave Springfield MO 65807-7310
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2024004279 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2024004279 Missouri

Profile Details

NPI number 1285480293
LBN Legal business name Wilson, Jordan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2024
Last updated Jun 13th, 2024 - 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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