| Mrs Susan K Jordan, CNP | |
|
4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | |
| (937) 675-6830 | |
| (937) 675-6835 |
| Full Name | Mrs Susan K Jordan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4940 Cottonville Rd, Jamestown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871580506 | NPI | - | NPPES |
| 2360270 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | COA05329NP (Ohio) | Primary |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan K Jordan, CNP 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 Ph: (937) 675-6830 | Mrs Susan K Jordan, CNP 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 Ph: (937) 675-6830 |
Eric E Bowers, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 | |
Dana N Scott, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 W Washington St, Jamestown, OH 45335 Phone: 937-901-6283 | |
Mrs. Angela Renee' Paugh, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 | |
Rhonda Steward Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 W Washington St, Jamestown, OH 45335 Phone: 937-271-7440 | |
Marcia Williams, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 | |
Angelia M Mickle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4940 Cottonville Rd, Ste 100, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 |