BROOKE JORDAN


Address: 5901 N Lidgerwood St Ste 220, Spokane, WA 99208-1122
Phone: 5094834060

BROOKE JORDAN (NPI# 1114142205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114142205
Entity Type Individual
Full Name BROOKE JORDAN
Credential A.R.N.P
Practice Address 5901 N Lidgerwood St Ste 220
Spokane
WA 99208-1122
Mailing Address 10040 W Barberry Rd
Cheney
WA 99004-9197
Practice Telephone 5094834060
Enumeration Date 2007-04-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP30007447 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA DSHS PROV # 1302215 01

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1639513294 Brooke Leann Jordan Family Medicine 1500 S Main St, Fort Worth, TX 76104-4917 2013-04-24
1689917510 Brooke J Jordan Licensed Psychiatric Technician 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 2013-03-28
1487843926 Brooke A Jordan Registered Nurse Usag Ansbach Health Clinic, Unit 28614, Apo, AE 09177 2007-10-22

Office Location

Street Address 5901 N LIDGERWOOD ST STE 220
City SPOKANE
State WA
Zip Code 99208-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417459850 Jared Dudley Nurse Practitioner 5901 N Lidgerwood St Ste 220, Spokane, WA 99208-1122 2018-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043787161 Bonnie Rose Spencer Social Worker E 44 Cozza, Spokane, WA 99208 2018-10-26
1235617515 Melissa Dawn Scholl Massage Therapist 906 E Country Hill Ct, Spokane, WA 99208 2018-07-30
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1467943720 Simone Ferguson Student in an Organized Health Care Education/Training Program 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 2018-05-22
1912496035 Ascend Network Corp Counselor 3711 W Woodside, Spokane, WA 99208 2018-05-03
1023522216 Cherrywood Place-spokane, LLC Assisted Living Facility 100 East Dalke Ave, Spokane, WA 99208 2017-11-27
1881118792 Annie Kamau Registered Nurse 5920 W Lonewolf, Spokane, WA 99208 2017-08-01
1609303908 Jeffery Anthony Glinski Counselor 3754 W. Indian Trail Rd., Spokane, WA 99208 2017-05-17
1487186938 Mukhlis Azar Physical Therapy Assistant 305 E Sierra Ct, Spokane, WA 99208 2017-04-03
1154796241 Daisy O'dell Marriage & Family Therapist 515 W. Francis Ave., Suite #8, Spokane, WA 99208 2015-12-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1447743117 Matthew Kilgore Nurse Practitioner 707 W 7th Ave Ste 290, Spokane, WA 99204-2833 2018-06-07
1902252505 Richard D Ervin Nurse Practitioner 1820 W Pepper Ln, Spokane, WA 99218-2759 2016-05-12
1396118469 Kerry Lee Traugott Nurse Practitioner 2405 E 17th Ave, Suite 113, Spokane, WA 99223 2015-11-11
1427427178 Kristen Bolling Nurse Practitioner 6518 E Lyons Ave, Spokane, WA 99217-9700 2015-09-23
1063897965 Julia Wolf Nurse Practitioner 9631 N Nevada St Ste 202, Spokane, WA 99218-1197 2015-07-21
1457746737 Ashley Jones Nurse Practitioner 10414 W Highway 2 Ste 10, Spokane, WA 99224-5347 2015-04-02
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Competitor

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City SPOKANE
Zip Code 99208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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