NPI 1003149840
Jonathan Jordan
Practice location
- Address
- 700 Friedman Ave, Las Vegas, NM 87701-4231
- Phone
- (505) 454-5100
- Mailing address
- 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003149840
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Sep 2009
- Record last updated
- 11 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.