SearchMinnesota363L00000X

Roberta Jordan, CNM, FNP

NPI 1649550492 · on the registry since 2011

Practice

Address
6452 City West Parkway
New Kingdom Healthcare
Eden Prairie, MN 55344
Phone
(952) 999-0333
Fax
(952) 300-2558
Organisation at this address
New Kingdom Pediatrics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • 6940 Michigan Rd Ste 140, Indianapolis, IN

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LF0000X
363LF0000X
367A00000X
367A00000X
Licence states on file
MN, IN, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-22

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 Minnesota