| Doctor Name: | MRS. DARLENE JORDAN |
| NPI Number: | 1750563649 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN049226 |
| Business Practice Address: | 800 N 9th St Coolidge, AZ - 852283514 |
| Business Phone Number: | 5207232285 |
| Business Fax Number: | 5207232258 |
| Mailing Address: | 800 N 9th St, COOLIDGE |
| State: | AZ |
| Postal Code: | 852283514 |
| Phone Number: | 5207232285 |
| Fax Number: | 5207232258 |
| NPI Enumeration Date: | 12/03/2007 |
| NPI Last Update Date: | 12/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN049226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |