MRS. SUSAN E. JORDAN (NPI# 1003913799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003913799 |
Entity Type | Individual |
Full Name | MRS. SUSAN E. JORDAN |
Other Name | MISS SUSAN E KURTZ |
Credential | APN |
Practice Address |
707 N Logan Avenue Danville Polyclinic, Ltd. Danville IL 61832-4360 |
Practice Telephone | 2174774720 |
Practice Fax Number | 2174774758 |
Mailing Telephone | 2174774720 |
Mailing Fax Number | 2174774758 |
Enumeration Date | 2006-09-17 |
Last Update Date | 2015-01-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209004797 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 209004797 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407275670 | Susan Louise Jordan | Behavioral Analyst | 284 Crestwood Ct, Fishkill, NY 12524-3309 | 2014-04-15 |
1982840963 | Susan Jordan | Licensed Practical Nurse | 55 Heather Ln, Levittown, NY 11756-3307 | 2008-12-23 |
1861511438 | Susan Beth Jordan | Behavioral Analyst | 7839 University Ave, La Mesa, CA 91942-0476 | 2007-03-28 |
1093898926 | Susan Kleck Jordan | Counselor | 7701 E 1st Pl, Suite D, Denver, CO 80230-6920 | 2006-10-23 |
1073613709 | Susan A Jordan | Dietitian, Registered | 1010 South, 7650 East, Crow Agency, MT 59022-0022 | 2006-09-23 |
1952361776 | Susan Anne Jordan | Family Medicine | 1526 E. Main Street, Melbourne, AR 72556 | 2006-03-24 |
1427047331 | Susan Starbuck Jordan | Registered Nurse | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2005-10-14 |
1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
1295018653 | Susan Jordan | Nurse Practitioner | 360 Peak One Drive, Suite #350, Frisco, CO 80443-0738 | 2011-09-22 |
Street Address |
707 N LOGAN AVENUE DANVILLE POLYCLINIC, LTD. |
City | DANVILLE |
State | IL |
Zip Code | 61832-4360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
Find all providers in zip 61832 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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---|---|---|---|---|
1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
1356958565 | Kenneth Neal Hawker Jr. | Nurse Practitioner | 136 Capri Ct, Danville, VA 24541-5116 | 2020-09-30 |
1134752546 | Jeanette Marie Hay | Nurse Practitioner | 7 Manor Dr Ste B, Danville, IN 46122-9402 | 2020-02-14 |
1194297853 | Maurice Roberts | Nurse Practitioner | Godocs LLC, 949 Piney Forest Road, Danville, VA 24540-1591 | 2018-12-19 |
1811465461 | Amelia Brown | Nurse Practitioner | 101 Citation Dr Ste C, Danville, KY 40422-9227 | 2018-11-12 |
1326529827 | Danville Medical Specialty | Nurse Practitioner | 504 Tenikat St, Danville, KY 40422-1751 | 2018-08-23 |
1528548328 | Abby Young | Nurse Practitioner | Danville Health Center, 26 Cedar Ln, Danville, VT 05828-0185 | 2018-08-21 |
1730668377 | Kristen Chilton Grabowski | Nurse Practitioner | 125 Executive Dr Ste J, Danville, VA 24541-4155 | 2018-08-13 |
1447761952 | April Yeatts Giles | Nurse Practitioner | 404 Airport Dr Ste A, Danville, VA 24540-5196 | 2017-10-24 |
1467970715 | Amelia Nicole Stevens I | Nurse Practitioner | 478 Whirlaway Dr Ste 200, Danville, KY 40422-9037 | 2017-09-07 |
Find all providers in DANVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.