ROBERTA MARIE JORDAN

EDEN PRAIRIE, MN
NPI1649550492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71012163A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  71012163A)
363LF0000X Nurse Practitioner, Family
(Licence: MN  8127)
367A00000X Advanced Practice Midwife
(Licence: MN  458)
367A00000X Advanced Practice Midwife
(Licence: MI  4704244874)
Enumeration Date2011-08-25
Last Update Date2023-11-06
Business Address
ROBERTA MARIE JORDAN CNM, FNP
6452 CITY WEST PARKWAY NEW KINGDOM HEALTHCARE
EDEN PRAIRIE, MN 55344-0010
Phone number: 952-999-0333
Mailing Address
ROBERTA MARIE JORDAN CNM, FNP
6452 CITY WEST PARKWAY NEW KINGDOM HEALTHCARE
EDEN PRAIRIE, MN 55344-0010
Phone number: 952-999-0333