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Contact Information

PATRICIA A JORDAN, L.P.N
2322 E ROESER RD
PHOENIX, AZ85040-3405
 Phone: 480-216-2199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for PATRICIA A JORDAN · (Female)

NPI Number 1831248384
Status Active
Credentials L.P.N
Entity Individual
Enumeration date 01/10/2007
Last updated 02/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # LP036459
  • CA License # VN 176064
  • CA Medicaid EPS010880
  • CA Medicaid RVN000620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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