Individual provider · Type 1 NPI
Editha Tingas Jordan, MSN
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1861158859
Active
Practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Fax (763) 236-3026
Other practice locations
- 855 Edgewater Ave, Shoreview, MN 55126-3868 · (763) 843-3787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 7393 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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- Amy KammererGerontology Nurse Practitioner Minneapolis, MN NPI 1043746761
About NPI 1861158859
Editha Tingas Jordan, MSN's National Provider Identifier is 1861158859, issued on Nov 13, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 10, 2024.