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General NPI Number Information
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NPI Number | 1720978190
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Entity Type | Individual
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Provider Name | ANGELA M JORDAN DNP, FNP-C, RN
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Gender |
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1990 MAIN ST STE 800
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City | SARASOTA
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State | FL
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Zip | 34236-5955
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Country | US
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Telephone | 941-217-2777
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Fax | 941-217-2888
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Provider Business Mailing Address
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Address Line | 1990 MAIN ST STE 800
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City | SARASOTA
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State | FL
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Zip | 34236-5955
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Country | US
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Telephone | 941-217-2777
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Fax | 941-217-2888
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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 | APRN11040700
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License Number State | FL
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