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1225327562
MIA JORDAN
MORRISTOWN, NJ
NPI
1225327562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ00736500)
Enumeration Date
2011-04-06
Last Update Date
2022-07-21
Business Address
-- MIA JORDAN PMHNP-BC
100 MADISON AVE # 28
MORRISTOWN, NJ 07960-6136
Phone number: 973-971-4634
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Mailing Address
-- MIA JORDAN PMHNP-BC
110 MAPLE ST
SPRINGFIELD, MA 01105-1864
Phone number: 413-732-7419
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