JEREMY VAN JORDAN

MERIDIAN, ID
NPI1164210670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  8671950)
Enumeration Date2025-04-26
Last Update Date2025-04-26
Business Address
JEREMY VAN JORDAN APRN-CNP
3851 S COMO AVE
MERIDIAN, ID 83642-1446
Phone number: 208-794-7165
Mailing Address
JEREMY VAN JORDAN APRN-CNP
3851 S COMO AVE
MERIDIAN, ID 83642-1446
Phone number: 208-794-7165
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