Individual provider · Type 1 NPI
Jordan Alexis Makin
Medical-Surgical Registered Nurse · Poway, CA
NPI number
1437620390
Active
Practice location
15615 Pomerado Rd
Poway, CA 92064-2405
Mailing address
2244 Fenton Pkwy Apt 213
San Diego, CA 92108-4748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 95157633 (CA) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1437620390
Jordan Alexis Makin's National Provider Identifier is 1437620390, issued on Dec 17, 2018. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Poway, CA. The record was last updated on Dec 17, 2018.