Individual provider · Type 1 NPI
Susan E. Jordan, APN
Family Nurse Practitioner · Danville, IL
NPI number
1003913799
Active
Practice location
707 N Logan Avenue, Danville Polyclinic, Ltd.
Danville, IL 61832-4360
Fax (217) 477-4758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209004797 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003913799
Susan E. Jordan, APN's National Provider Identifier is 1003913799, issued on Sep 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Danville, IL. The record was last updated on Jan 5, 2015.