| NPI | 1780280511 |
|---|---|
| Professional Name | MICHELLE EILEEN JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209021573) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2023-08-14 |