| Doctor Name: | MRS. MAUREEN BAKER JORDAN |
| NPI Number: | 1013207323 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | L1-0035185 |
| Business Practice Address: | 20346 Ennis Rd Georgetown, DE - 199474108 |
| Business Phone Number: | 3028561926 |
| Business Fax Number: | 3028561950 |
| Mailing Address: | 31 Hoosier St, SELBYVILLE |
| State: | DE |
| Postal Code: | 199759300 |
| Phone Number: | 3024361000 |
| Fax Number: | 3028561950 |
| NPI Enumeration Date: | 04/08/2011 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | L1-0035185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |