Jordan Waller, is a
Registered Nurse based in Pueblo, Colorado. Jordan Waller is licensed to practice in Colorado (license number RN.1649284) and her current practice location is
1 Wellness Way, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 545-2746.
NPI number for Jordan Waller is 1083220081 and her current mailing address is 41 Montebello Rd Ste 204, Pueblo, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083220081.
Healthcare Provider's Profile
Full Name | Jordan Waller |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1 Wellness Way, Pueblo, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083220081
- Provider Enumeration Date: 09/16/2020
- Last Update Date: 09/16/2020
Medical Identifiers
Medical identifiers for Jordan Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083220081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | RN.1649284 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Waller, 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 Ph: (719) 545-2746 | Jordan Waller, 1 Wellness Way, Pueblo, CO 81006-2103 Ph: (719) 545-2746 |
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