Individual provider · Type 1 NPI
Minerva Jordan, REGISTERED NURSE
Psychiatric/Mental Health Registered Nurse · Modesto, CA
NPI number
1023671732
Active
Practice location
4321 Eliot Ct
Modesto, CA 95356-8936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 836048 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 836048 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1023671732
Minerva Jordan, REGISTERED NURSE's National Provider Identifier is 1023671732, issued on Apr 18, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Apr 23, 2019.