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NPI Code Detail

MEDICARE: JORDAN MICHAEL PRICE FNP-BC

MEDICARE: JORDAN MICHAEL PRICE FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704349741MI

General Provider Information

NPI Number : 1366391393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN MICHAEL PRICE FNP-BC
Provider Business Mailing Address
First Line : 6583 QUENTIN DR
Second Line :
City : HOWARD CITY
State : MI
Zip : 49329-7619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20095 GILBERT RD STE B
Second Line :
City : BIG RAPIDS
State : MI
Zip : 49307-2366
Country : US
Telephone Number : 231-592-1360
Fax Number : 231-592-1361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 02/18/2026

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Directions to “ JORDAN MICHAEL PRICE FNP-BC” Practice Location

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