Individual provider · Type 1 NPI

Marilyn Alyda Jordan

Licensed Practical Nurse · Detroit, MI

NPI number 1891190799 Active

Practice location

6440 Vinewood St, Apt 1
Detroit, MI 48208-1060

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703114353 (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 1891190799

Marilyn Alyda Jordan's National Provider Identifier is 1891190799, issued on Nov 4, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 4, 2014.