Individual provider · Type 1 NPI

Jordan H. Ide, MSN, FNP-BC, ANCC

Family Nurse Practitioner · Lebanon, NH

NPI number 1821618042 Active

Practice location

410 Miracle Mile
Lebanon, NH 03766-2639

Call (603) 520-7431 Map

Mailing address

63 Emerald St, Pmb 130
Keene, NH 03431

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X101.0134678 (VT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X071684-23 (NH)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Other family nurse practitioner providers in Lebanon

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About NPI 1821618042

Jordan H. Ide, MSN, FNP-BC, ANCC's National Provider Identifier is 1821618042, issued on Apr 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lebanon, NH. The record was last updated on Dec 29, 2022.