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Jordan Lee Edwards, NP-C
Adult Health Nurse Practitioner in Wentzville, Missouri
NPI 1043852775

Jordan Lee Edwards is an Adult Health Nurse Practitioner based in O Fallon, MO and is specialized in Adult Health. Jordan Lee Edwards practices in Wentzville, MO and has the professional credentials of NP-C. The NPI Number for Jordan Lee Edwards is 1043852775 and holds a License No. 2019026971 (Missouri).

The current practice location address for Jordan Lee Edwards is 105 Creekside Office Dr, Wentzville, MO and can be reached out via phone at 636-625-5200.

Location: 105 Creekside Office Dr, Wentzville, MO, 63366-7582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043852775
Provider Name
Jordan Lee Edwards
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
105 Creekside Office Dr, Wentzville, MO, 63366-7582
Phone Number
636-625-5200
Fax Number
Provider Enumeration Date
10/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Creekside Office Dr
City
Wentzville
State
Missouri
Zip
63385-3289
Phone Number
636-625-5200
Fax Number
person
Provider Business Mailing Address Details
Address
105 Creekside Office Dr
City
Wentzville
State
Missouri
Zip
63385-3289
Phone Number
636-625-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2019026971 (Missouri)
Definition
Definition to come...
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