BROOKE JORDAN A.R.N.P NPI 1114142205

NPI Information

NPI: 1114142205
Provider Name: BROOKE JORDAN, A.R.N.P
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5901 N LIDGERWOOD ST STE 220
SPOKANE, WA
ZIP 99208
Phone: (509) 483-4060
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Brooke Jordan, A.R.N.P is a family nurse practitioner in Spokane, WA. Brooke Jordan, A.R.N.P NPI is 1114142205. 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:

5901 N LIDGERWOOD ST STE 220
SPOKANE, WA
ZIP 99208-122
Phone: (509) 483-4060

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/8/2007.

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
1	363LF0000X	Nurse Practitioner	Family	AP30007447	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1302215	OTHER	WASHINGTON	DSHS PROV #
2	C48734	MEDICARE UPIN	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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