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NPI Code Detail

MEDICARE: FRANK C JORDAENS JR. NP

MEDICARE: FRANK C JORDAENS JR. NP
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 Practitioner0024102283VA
2363L00000XNurse Practitioner0024102283VA

Other Identifiers

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

General Provider Information

NPI Number : 1972599447
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK C JORDAENS JR. NP
Provider Business Mailing Address
First Line : 815 W POYTHRESS ST
Second Line :
City : HOPEWELL
State : VA
Zip : 23860-2532
Country : US
Telephone Number : 804-458-3429
Fax Number : 804-541-7113
Provider Business Practice Location Address
First Line : 815 W POYTHRESS ST
Second Line :
City : HOPEWELL
State : VA
Zip : 23860-2532
Country : US
Telephone Number : 804-520-1110
Fax Number : 804-526-3105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/13/2022

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Directions to “ FRANK C JORDAENS JR. NP” Practice Location

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