Individual provider · Type 1 NPI
Crystal Lynn Jordan, APRN, NP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chatham, IL
NPI number
1609482231
Active
Practice location
638 Oakbrook Ave
Chatham, IL 62629
Mailing address
PO Box 522
Chatham, IL 62629-0522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2020025752 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209021748 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Chatham
About NPI 1609482231
Crystal Lynn Jordan, APRN, NP, PMHNP-BC's National Provider Identifier is 1609482231, issued on Sep 18, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chatham, IL. The record was last updated on Sep 18, 2020.