Michell M Jordan in Denton - Nurse Practitioner
Michell M Jordan - NPI 1366524365
Michell M Jordan is a Nurse Practitioner in Denton, Maryland. Michell M Jordan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michell M Jordan is 1366524365. The last update date is 2023-06-28.
Michell M Jordan's current location address is 410 Lockerman St, Denton, Maryland. You can contact this provider via phone number 4104793075 and fax number 8339140407. The mailing address for Michell M Jordan is 410 Lockerman St, Denton, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michell M Jordan |
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Address | 410 Lockerman St, Denton, Maryland |
Phone Number | 4104793075 |
Fax Number | 8339140407 |
Sole Proprietor | N |
Credentials | DNP |
NPI Number Detail
NPI Number | 1366524365 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2023-06-28 |
Provider Mailing Address Detail
Address | 410 Lockerman St |
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City | Denton |
State | Maryland (MD) |
Post Code | 216291048 |
Phone Number | 4104793075 |
Fax Number | 8339140407 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | R197956 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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97602401 | BCBS MD | ||
9541449 | AETNA PPO | ||
49008300 | MD | -- | |
8355618 | AETNA HMO | ||
68320014 | BCBD FEDERAL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michell M Jordan by the Centers for Medicare & Medicaid Services?
The Michell M Jordan has been assigned the NPI (National Provider Identifier) 1366524365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Michell M Jordan's facilities are geographically located?
The facilities of Michell M Jordan are physically situated at the following location: 410 Lockerman St, Denton, MD, 216291048.
What is the Michell M Jordan's specialty and taxonomy code?
The Michell M Jordan's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Michell M Jordan receive its 1366524365 assignment from the Centers for Medicare & Medicaid Services?
The Michell M Jordan was assigned its 1366524365 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the information pertaining to Michell M Jordan most recently updated or revised?
The details related to Michell M Jordan, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-28.