person
Jordan E Taylor, PNP
Family Nurse Practitioner in Coeur D Alene, Idaho
NPI 1144306549

Jordan E Taylor is a Family Nurse Practitioner based in Spokane, ID and is specialized in Family. Jordan E Taylor practices in Coeur D Alene, ID and has the professional credentials of PNP. The NPI Number for Jordan E Taylor is 1144306549 and holds a License No. NP729A (Idaho).

The current practice location address for Jordan E Taylor is 700 W Ironwood Dr, Coeur D Alene, ID and can be reached out via phone at 208-667-0585 and via fax at 208-667-0876.

Location: 700 W Ironwood Dr, Coeur D Alene, ID, 99218-1286
person
Provider Profile Details
NPI Number
1144306549
Provider Name
Jordan E Taylor
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
700 W Ironwood Dr, Coeur D Alene, ID, 99218-1286
Phone Number
208-667-0585
Fax Number
208-667-0876
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPXN3 01 ID BLUE CROSS
9653353 05 WA
NPXN2 01 ID BLUE CROSS OF IDAHO
1047507 05 WA
AP60904961 01 WA ARNP
000010153954 01 ID REGENCE BLUE SHIELD
1144306549 05 MT
807343600 05 ID
NP708ID 05 AK
000010153955 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
700 W Ironwood Dr
City
State
Zip
83814-2656
Phone Number
208-667-0585
Fax Number
208-667-0876
person
Provider Business Mailing Address Details
Address
700 W Ironwood Dr
City
State
Zip
83814-2656
Phone Number
208-667-0585
Fax Number
208-667-0876
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60904961 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
NP729A (Idaho)
Definition
Definition to come...
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