| NPI | 1770365272 |
|---|---|
| Doing Business As | CONSTANCE W JORDAN ANP PMHNP PLLC |
| Entity Type | Organization |
| Authorized Contact | CHERYL MCATEE-THORNTON Credentialing Agent 218-452-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-09-02 |