Individual provider · Type 1 NPI

Mary Jordan, CPNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1477561991 Active

Practice location

2001 Bloomington Avenue S, Community-University Health Care Center
Minneapolis, MN 55404-3074

Call (612) 638-0700 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR125380-1 (MN)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1477561991

Mary Jordan, CPNP's National Provider Identifier is 1477561991, issued on Aug 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.