Provider Demographics
NPI:1134304074
Name:BECKER, JORDANA (RN, CPNP)
Entity Type:Individual
Prefix:MS
First Name:JORDANA
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 80TH ST
Mailing Address - Street 2:WEILL CORNELL MEDICAL ASSOCIATES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0511
Mailing Address - Country:US
Mailing Address - Phone:646-962-7375
Mailing Address - Fax:646-962-0410
Practice Address - Street 1:201 E 80TH ST
Practice Address - Street 2:WEILL CORNELL MEDICAL ASSOCIATES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0511
Practice Address - Country:US
Practice Address - Phone:646-962-7375
Practice Address - Fax:646-962-0410
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381399363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics