Provider Demographics
NPI:1720978190
Name:JORDAN, ANGELA M (DNP, FNP-C, RN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:JORDAN
Suffix:
Gender:X
Credentials:DNP, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1990 MAIN ST STE 800
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-5955
Mailing Address - Country:US
Mailing Address - Phone:941-217-2777
Mailing Address - Fax:941-217-2888
Practice Address - Street 1:1990 MAIN ST STE 800
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5955
Practice Address - Country:US
Practice Address - Phone:941-217-2777
Practice Address - Fax:941-217-2888
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11040700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily