Mr. Jordan Timothy Herbert
Nurse Practitioner - Primary Care
32905 W 12 Mile Rd Ste 410
Farmington Hills
, Michigan 48334-3346
Mr. Jordan Timothy Herbert
Nurse Practitioner - Primary Care
32905 W 12 Mile Rd Ste 410
Farmington Hills
, Michigan 48334-3346
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mr. Jordan Timothy Herbert
- 21650 W 11 Mile Rd Ste 202
- Southfield, MI
- Zip : 48076-3777
- Phone :
Second Address
- Mr. Jordan Timothy Herbert
- 32905 W 12 Mile Rd Ste 410
- Farmington Hills, MI
- Zip : 48334-3346
- Fax : (248) 957-9185
- Phone : (248) 957-9184
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704293610 | MI |
National Provider Identifier
| NPI | 1073058475 |
|---|---|
| Provider Name | Mr. Jordan Timothy Herbert |
| First Address | Southfield, MI 48076-3777 |
| Second Address | Farmington Hills, MI 48334-3346 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2016 |
| Last Update Date | 24/02/2021 |
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.