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Blakley E Jordan, APRN
Pediatric Nurse Practitioner in Dayton, Ohio
NPI 1255857421

Blakley E Jordan is a Pediatric Nurse Practitioner based in Cleveland, OH and is specialized in Pediatrics. Blakley E Jordan practices in Dayton, OH and has the professional credentials of APRN. The NPI Number for Blakley E Jordan is 1255857421 and holds a License No. 026091 (Ohio).

The current practice location address for Blakley E Jordan is 1 Childrens Plz, Dayton, OH and can be reached out via phone at 937-641-4762.

Location: 1 Childrens Plz, Dayton, OH, 44193-0039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255857421
Provider Name
Blakley E Jordan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Childrens Plz, Dayton, OH, 44193-0039
Phone Number
937-641-4762
Fax Number
Provider Enumeration Date
08/18/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0480186 05 OH
institution
Provider Business Practice Location Address Details
Address
1 Childrens Plz
City
Dayton
State
Ohio
Zip
45404-1873
Phone Number
937-641-4762
Fax Number
person
Provider Business Mailing Address Details
Address
1 Childrens Plz
City
Dayton
State
Ohio
Zip
45404-1873
Phone Number
937-641-4762
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
026091 (Ohio)
Definition
Definition to come...
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