DAVID JORDAN

NORMAL, IL
NPI1295452464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.026243)
Enumeration Date2022-10-27
Last Update Date2023-04-19
Business Address
DAVID JORDAN FNP
1304 FRANKLIN AVE
NORMAL, IL 61761-3558
Phone number: 309-454-1400
Mailing Address
DAVID JORDAN FNP
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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