Individual provider · Type 1 NPI
Jordan Lee Edwards, NP-C
Adult Health Nurse Practitioner · Wentzville, MO
NPI number
1043852775
Active
Practice location
105 Creekside Office Dr
Wentzville, MO 63385-3289
Mailing address
315 Vinings Blvd
O Fallon, MO 63366-7582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2019026971 (MO) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other adult health nurse practitioner providers in Wentzville
About NPI 1043852775
Jordan Lee Edwards, NP-C's National Provider Identifier is 1043852775, issued on Oct 15, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wentzville, MO. The record was last updated on Oct 22, 2019.