MEDICARE: MRS. MARY LOUISE JORDAN LPN

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
1	164W00000X	Licensed Practical Nurse	19413	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215017025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY LOUISE JORDAN LPN

Provider Business Mailing Address
First Line	:	1927 W MEINECKE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53206-2063
Country	:	US
Telephone Number	:	414-372-7232
Fax Number	:	414-372-7232

Provider Business Practice Location Address
First Line	:	1927 W MEINECKE AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53206-2063
Country	:	US
Telephone Number	:	414-372-7232
Fax Number	:	414-372-7232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1184675506 — CARDIAC EVALUATION SERVICES INC
Practice Location Address:

2063 SOUTH 116TH STREET
MILWAUKEE, WI
53227

Practice Phone: 800-876-1919
Practice Fax: 414-545-4126

1790482594 — PORTIA JOHNSON
Practice Location Address:

12250 W NORTH AVE
MILWAUKEE, WI
53226-2063

Practice Phone: 414-882-7881
Practice Fax:

1447126438 — MS. CHRISTINA CARTER
Practice Location Address:

6815 W CAPITOL DR STE 201
MILWAUKEE, WI
53216-2063

Practice Phone: 262-923-2223
Practice Fax: 262-923-2224

1356303101 — JEANNETTE PONDER
Practice Location Address:

3152 N 24TH PL
MILWAUKEE, WI
53206-1209

Practice Phone: 414-447-1489
Practice Fax:

1558324632 — MISS JAMIE K WATTS LPN
Practice Location Address:

1335 W HADLEY ST
MILWAUKEE, WI
53206-2646

Practice Phone: 414-265-4362
Practice Fax:

1104831098 — WALGREEN CO
Practice Location Address:

2222 W CAPITOL DR
MILWAUKEE, WI
53206-1941

Practice Phone: 414-871-1940
Practice Fax:

Directions to “ MRS. MARY LOUISE JORDAN LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.