Mary Jordan CPNP
Pediatric Nurse Practitioner in Minneapolis, MN(View on Map)
Full Name
Mary Jordan CPNP
NPI Number
1477561991
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/03/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
R125380-1
Contact
Information
Purpose
Mailing
Location
Address
2001 BLOOMINGTON AVENUE S
2001 BLOOMINGTON AVENUE S
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55404-3074
55404-3074
Country
US
US
Telephone Number
(612) 638-0700
(612) 638-0700
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007