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Jordan Blaine
Psychiatric/Mental Health Nurse Practitioner in Orange, California
NPI 1093171480

Jordan Blaine is a Psychiatric/Mental Health Nurse Practitioner based in Orange, CA and is specialized in Psychiatric/Mental Health. Jordan Blaine practices in Orange, CA. The NPI Number for Jordan Blaine is 1093171480 and holds a License No. 95014481 (California).

The current practice location address for Jordan Blaine is 4900 E Chapman Ave Unit 103, Orange, CA and can be reached out via phone at 323-365-6312.

Location: 4900 E Chapman Ave Unit 103, Orange, CA, 92869-4140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093171480
Provider Name
Jordan Blaine
Credential
Provider Entity Type
Individual
Gender
Female
Address
4900 E Chapman Ave Unit 103, Orange, CA, 92869-4140
Phone Number
323-365-6312
Fax Number
Provider Enumeration Date
01/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4900 E Chapman Ave Unit 103
City
Orange
State
California
Zip
92869-4140
Phone Number
323-365-6312
Fax Number
person
Provider Business Mailing Address Details
Address
4900 E Chapman Ave Unit 103
City
Orange
State
California
Zip
92869-4140
Phone Number
323-365-6312
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95014481 (California)
Definition
Definition to come...
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