NPI 1760186183 · live from the CMS NPI Registry
Kirsten Jordan, CPNP-PC
Nurse Practitioner, Pediatrics in Fairfax, IA. National Provider Identifier 1760186183, active.
NPI record
| NPI | 1760186183 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 505 Front St, Fairfax, IA 52228 |
| Practice phone | 402-212-5634 |
| Enumerated | March 29, 2023 |
| Last updated | March 29, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C173667 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.