Provider Demographics
NPI:1689016875
Name:CHRISTENSEN, JORDAN MICHELLE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:MICHELLE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 S 300 E
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3620
Mailing Address - Country:US
Mailing Address - Phone:435-628-2826
Mailing Address - Fax:435-628-2839
Practice Address - Street 1:383 S 300 E
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3620
Practice Address - Country:US
Practice Address - Phone:435-628-2826
Practice Address - Fax:435-628-2839
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6583639-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily