Individual provider · Type 1 NPI

Jordan E. Taylor, PNP

Pediatric Nurse Practitioner · Coeur D Alene, ID

NPI number 1144306549 Active

Practice location

1090 W Park Pl
Coeur D Alene, ID 83814-2785

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Other practice locations

  • 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 · (208) 667-0585

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP60904961 (WA)
Pediatric Nurse Practitioner Primary 363LP0200XNP729A (ID)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1144306549

Jordan E. Taylor, PNP's National Provider Identifier is 1144306549, issued on Oct 27, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 18, 2026.