Provider Demographics
NPI:1013207323
Name:JORDAN, MAUREEN BAKER (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:BAKER
Last Name:JORDAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HOOSIER ST
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-9300
Mailing Address - Country:US
Mailing Address - Phone:302-436-1000
Mailing Address - Fax:302-856-1950
Practice Address - Street 1:20346 ENNIS RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-4108
Practice Address - Country:US
Practice Address - Phone:302-856-1926
Practice Address - Fax:302-856-1950
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0035185163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool