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General NPI Number Information
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NPI Number | 1073236212
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Entity Type | Individual
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Provider Name | GABRIELLE JORDAN NP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 20375 W 151ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5306
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Country | US
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Telephone | 913-355-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 20375 W 151ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5306
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Country | US
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Telephone | 913-355-8262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2022040687
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-81795-062
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 2018001732
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License Number State | MO
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