Individual provider · Type 1 NPI

Raven Jordan, FNP

Nurse Practitioner · Barbourville, KY

NPI number 1083211544 Active

Practice location

215 N Allison Ave
Barbourville, KY 40906-1336

Mailing address

18 Granger Ct
Barbourville, KY 40906-7212

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3015160 (KY)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083211544

Raven Jordan, FNP's National Provider Identifier is 1083211544, issued on Oct 7, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Barbourville, KY. The record was last updated on Sep 22, 2021.