MEDICARE: MS. MARTINE EUGENE JORDAN ARNP

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	363LF0000X	Family Nurse Practitioner	9171429	FL

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	:	1972790152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARTINE EUGENE JORDAN ARNP

Provider Business Mailing Address
First Line	:	9400 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2025
Country	:	US
Telephone Number	:	305-835-9264
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2025
Country	:	US
Telephone Number	:	305-835-9264
Fax Number	:

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

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	10/16/2025

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