Individual provider · Type 1 NPI
Jeremy Van Jordan, APRN-CNP
Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI number
1164210670
Active
Practice location
3851 S Como Ave
Meridian, ID 83642-1446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8671950 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1164210670
Jeremy Van Jordan, APRN-CNP's National Provider Identifier is 1164210670, issued on Apr 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Apr 26, 2025.