Individual provider · Type 1 NPI
Roberta Marie Jordan, CNM, FNP
Nurse Practitioner · Eden Prairie, MN
Practice location
6452 City West Parkway, New Kingdom Healthcare
Eden Prairie, MN 55344-0010
Fax (952) 300-2558
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Other practice locations
- 6940 Michigan Rd Ste 140, Indianapolis, IN 46268-2800 · (317) 266-2901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8127 (MN) |
| Family Nurse Practitioner | 363LF0000X | 71012163A (IN) |
| Nurse Practitioner Primary | 363L00000X | 71012163A (IN) |
| Advanced Practice Midwife | 367A00000X | 458 (MN) |
| Advanced Practice Midwife | 367A00000X | 4704244874 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1649550492
Roberta Marie Jordan, CNM, FNP's National Provider Identifier is 1649550492, issued on Aug 25, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Sep 22, 2025.