JORDAN N KNICKERBOCKER

GRAND JUNCTION, CO
NPI1811676786
Former NameJORDAN N DEBOER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CO  Pending)
Enumeration Date2023-07-17
Last Update Date2023-08-30
Business Address
JORDAN N KNICKERBOCKER NP
3150 N 12TH ST
GRAND JUNCTION, CO 81506-2863
Phone number: 970-254-2642
Mailing Address
JORDAN N KNICKERBOCKER NP
PO BOX 10700
GRAND JUNCTION, CO 81502-5517
Phone number: 970-254-2642
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