| Ms Patricia Ann Jordan, LPN | |
|
2322 E Roeser Rd, Phoenix, AZ 85040-3405 | |
| (480) 216-2199 | |
| Not Available |
| Full Name | Ms Patricia Ann Jordan |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2322 E Roeser Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831248384 | NPI | - | NPPES |
| RVN000620 | Medicaid | CA | |
| EPS010880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN 176064 (California) | Secondary |
| 164W00000X | Licensed Practical Nurse | LP036459 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Patricia Ann Jordan, LPN 2322 E Roeser Rd, Phoenix, AZ 85040-3405 Ph: (480) 216-2199 | Ms Patricia Ann Jordan, LPN 2322 E Roeser Rd, Phoenix, AZ 85040-3405 Ph: (480) 216-2199 |
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