Mrs Susan K Jordan, CNP | |
4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | |
(937) 675-6830 | |
(937) 675-6835 |
Full Name | Mrs Susan K Jordan |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4940 Cottonville Rd, Jamestown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871580506 | NPI | - | NPPES |
2360270 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | COA05329NP (Ohio) | Primary |
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Mvhe Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
Mailing Address | Practice Location Address |
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Mrs Susan K Jordan, CNP 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 Ph: (937) 675-6830 | Mrs Susan K Jordan, CNP 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 Ph: (937) 675-6830 |
Dana N Scott, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 W Washington St, Jamestown, OH 45335 Phone: 937-901-6283 | |
Mrs. Angela Renee' Paugh, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 | |
Marcia Williams, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 | |
Angelia M Mickle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4940 Cottonville Rd, Ste 100, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 | |
Grenetta L Ritenour, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 |