Individual provider · Type 1 NPI

Jordan Keller Ralston, NP

Nurse Practitioner · Richmond, VA

NPI number 1700507274 Active

Practice location

1250 E Marshall St
Richmond, VA 23298-5023

Fax (804) 828-8321

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024184933 (VA)

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 1700507274

Jordan Keller Ralston, NP's National Provider Identifier is 1700507274, issued on Sep 5, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Richmond, VA. The record was last updated on Sep 5, 2022.