Antionette Jordan
Antionette Jordan is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Nhs South LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 4
- Licensed in
- MO
- In the registry since
- 2023
Practice location Address checks out
10004 Kennerly Rd Ste 374BSaint Louis, MO 63128-2178
Phone: (314) 842-9669
Fax: (314) 842-1017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2022047351 (MO) |
|---|
Record details
| NPI number | 1275249237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 24, 2023 |
| Last updated in NPPES | August 6, 2023 |
| Certification date | August 6, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Nhs South Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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