Jordan E Dicken
Nurse Practitioner - Primary Care
1420 S Pilgrim Blvd
Yorktown
, Indiana 47396-9250
Jordan E Dicken
Nurse Practitioner - Primary Care
1420 S Pilgrim Blvd
Yorktown
, Indiana 47396-9250
(877) 668-5621
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jordan E Dicken
- 1200 W White River Blvd
- Muncie, IN
- Zip : 47303-4988
- Phone : (877) 668-5621
Second Address
- Jordan E Dicken
- 1420 S Pilgrim Blvd
- Yorktown, IN
- Zip : 47396-9250
- Phone : (765) 759-4068
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 71007886A | IN |
National Provider Identifier
| NPI | 1073019659 |
|---|---|
| Provider Name | Jordan E Dicken |
| First Address | Muncie, IN 47303-4988 |
| Second Address | Yorktown, IN 47396-9250 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2018 |
| Last Update Date | 15/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.