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Mrs. Jordan H. Ide, MSN,FNP-BC,ANCC
Family Nurse Practitioner in Lebanon, New Hampshire
NPI 1821618042

Jordan H. Ide is a Family Nurse Practitioner based in Keene, NH and is specialized in Family. Jordan H. Ide practices in Lebanon, NH and has the professional credentials of MSN,FNP-BC,ANCC. The NPI Number for Jordan H. Ide is 1821618042 and holds a License No. 101.0134678 (New Hampshire).

The current practice location address for Jordan H. Ide is 410 Miracle Mile, Lebanon, NH and can be reached out via phone at 603-520-7431.

Location: 410 Miracle Mile, Lebanon, NH, 03431
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Provider Profile Details
NPI Number
1821618042
Provider Name
Jordan H. Ide
Credential
MSN,FNP-BC,ANCC
Provider Entity Type
Individual
Gender
Female
Address
410 Miracle Mile, Lebanon, NH, 03431
Phone Number
603-520-7431
Fax Number
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071684-23 01 NH STATE OF NH BOARD OF NURSING
101.0134678 01 VT STATE OF VT BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
410 Miracle Mile
City
State
Zip
03766-2639
Phone Number
603-520-7431
Fax Number
person
Provider Business Mailing Address Details
Address
410 Miracle Mile
City
State
Zip
03766-2639
Phone Number
603-520-7431
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
(New Hampshire)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
101.0134678 (Vermont)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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