Individual provider · Type 1 NPI

Andrea Jordan

Licensed Practical Nurse · Detroit, MI

NPI number 1790169035 Active

Practice location

9008 Burt Rd
Detroit, MI 48228-1610

Call (248) 667-1997 Map

Mailing address

8945 North Park Place, Apt. 307
Milwaukee, WI 53223

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	4703063848 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1790169035

Andrea Jordan's National Provider Identifier is 1790169035, issued on Jul 16, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 16, 2015.