Individual provider · Type 1 NPI

Michael J. Jordan, NP

Acute Care Nurse Practitioner · Urbana, IL

NPI number 1932566288 Active

Practice location

611 W Park St, Hvi
Urbana, IL 61801-2529

Fax (217) 904-7742

Mailing address

400 Parnassus Ave, # 655
San Francisco, CA 94143-2202

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95015046 (CA)
Acute Care Nurse Practitioner Primary 363LA2100X95015046 (CA)
Acute Care Nurse Practitioner 363LA2100X209013781 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1932566288

Michael J. Jordan, NP's National Provider Identifier is 1932566288, issued on Jan 18, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Urbana, IL. The record was last updated on Aug 22, 2020.