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ANTIONETTE JORDAN
Nurse Practitioner
NPI: 1275249237IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
2022047351(MO)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 10004 KENNERLY RD STE 374B
SAINT LOUIS, MO 63128 - Phone
- (314) 842-9669
Quick Facts
- NPI
- 1275249237
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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