CRYSTAL LYNN JORDAN

CHATHAM, IL
NPI1609482231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209021748)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2020025752)
Enumeration Date2020-09-18
Last Update Date2020-09-18
Business Address
CRYSTAL LYNN JORDAN APRN, NP, PMHNP-BC
638 OAKBROOK AVE
CHATHAM, IL 62629
Phone number: 217-553-2815
Mailing Address
CRYSTAL LYNN JORDAN APRN, NP, PMHNP-BC
PO BOX 522
CHATHAM, IL 62629-0522
Phone number: 217-553-2815