Provider Demographics
NPI:1225548027
Name:JOR'DAN, NAFEESAH S (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:NAFEESAH
Middle Name:S
Last Name:JOR'DAN
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E FAIRCHILD ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-3114
Mailing Address - Country:US
Mailing Address - Phone:217-920-0168
Mailing Address - Fax:217-920-0202
Practice Address - Street 1:202 E FAIRCHILD ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3114
Practice Address - Country:US
Practice Address - Phone:217-920-0168
Practice Address - Fax:217-920-0202
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily