| Doctor Name: | JESSICA JORDAN |
| NPI Number: | 1063882199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, FNP-C |
| License Number: | RN273633 |
| Business Practice Address: | 50 Tremont St Suite 104 Melrose, MA - 021762721 |
| Business Phone Number: | 7816626404 |
| Business Fax Number: | 7816650658 |
| Mailing Address: | 50 Tremont St, Suite 104 MELROSE |
| State: | MA |
| Postal Code: | 021762721 |
| Phone Number: | 7816626404 |
| Fax Number: | 7816650658 |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN273633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |