MRS. JORDAN BROTZ FNP NPI 1104574334

NPI Information

  • NPI: 1104574334
  • Provider Name: MRS. JORDAN BROTZ, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 946 E REED ST
    HAYTI, MO
    ZIP 63851
  • Phone: (573) 359-1372

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NPI Details

MRS. Jordan Brotz, FNP is a family nurse practitioner in Hayti, MO with 4 years of experience. MRS. Jordan Brotz, FNP NPI is 1104574334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

946 E REED ST
HAYTI, MO
ZIP 63851-243
Phone: (573) 359-1372

The NPI 1104574334 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2022 and was last updated on 3/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2022008047MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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