Individual provider · Type 1 NPI

Jordan N. Knickerbocker, NP

Pediatric Nurse Practitioner · Grand Junction, CO

NPI number 1811676786 Active

Practice location

3150 N 12th St
Grand Junction, CO 81506-2863

Mailing address

PO Box 10700
Grand Junction, CO 81502-5517

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XPENDING (CO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1811676786

Jordan N. Knickerbocker, NP's National Provider Identifier is 1811676786, issued on Jul 17, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Junction, CO. The record was last updated on Oct 16, 2024.