Provider Demographics
NPI:1396344289
Name:CULANCULAN, JORDANA MARIE (ACNP)
Entity type:Individual
Prefix:MS
First Name:JORDANA
Middle Name:MARIE
Last Name:CULANCULAN
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Gender:F
Credentials:ACNP
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Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-1408
Mailing Address - Fax:314-362-6033
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV NEUROLOGY, CRITICAL CARE MEDICINE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-1408
Practice Address - Fax:314-362-6033
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2025-11-03
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Provider Licenses
StateLicense IDTaxonomies
MO2020035062363LC0200X, 363LC0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine