Antionette Jordan

NPI 1275249237 · on the registry since 2023

Practice

Address: 10004 Kennerly Rd Ste 374b
Saint Louis, MO 63128
Phone: (314) 842-9669
Fax: (314) 842-1017
Organisation at this address: Renalcare Llc
Idxpert, P.C.
Nhs South Llc
Fareesa Khan Llc
Pd Nephrology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 78

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri