EILEEN JORDAN


Address: 4428 California St, San Francisco, CA 94118-1213
Phone: 4153861332

EILEEN JORDAN (NPI# 1972043727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972043727
Entity Type Individual
Full Name EILEEN JORDAN
Practice Address 4428 California St
San Francisco
CA 94118-1213
Practice Telephone 4153861332
Mailing Telephone 4153861332
Enumeration Date 2017-02-27
Last Update Date 2017-02-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95006104 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4428 CALIFORNIA ST
City SAN FRANCISCO
State CA
Zip Code 94118-1213

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1952801359 Justin Andrew Fotter Chiropractor 403 Arguello Blvd, Live Fit Gym, San Francisco, CA 94118 2018-02-13
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SAN FRANCISCO
Zip Code 94118

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Dataset Information

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.

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