Mrs. Crystal Marie Jordan
Nurse Practitioner - Family Medicine
901 Washington St
Portsmouth
, Ohio 45662-3944
Mrs. Crystal Marie Jordan
Nurse Practitioner - Family Medicine
901 Washington St
Portsmouth
, Ohio 45662-3944
(740) 353-1662
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Crystal Marie Jordan
- 901 Washington St
- Portsmouth, OH
- Zip : 45662-3944
- Fax : (740) 353-1662
- Phone : (740) 354-7702
Second Address
- Mrs. Crystal Marie Jordan
- 901 Washington St
- Portsmouth, OH
- Zip : 45662-3944
- Phone : (740) 354-1010
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA.14867-NP | OH |
National Provider Identifier
| NPI | 1003255266 |
|---|---|
| Provider Name | Mrs. Crystal Marie Jordan |
| First Address | Portsmouth, OH 45662-3944 |
| Second Address | Portsmouth, OH 45662-3944 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2013 |
| Last Update Date | 24/07/2013 |
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.