JORDAN L PICKERING

PLYMOUTH, MN
NPI1770152092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  2618)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: MN  R234444-7)
Enumeration Date2021-06-21
Last Update Date2024-12-31
Business Address
JORDAN L PICKERING
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447-4876
Phone number: 763-559-3779
Mailing Address
JORDAN L PICKERING
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779