Antionette Jordan
Nurse Practitioner
10004 Kennerly Rd Ste 374b, Saint Louis
Missouri, 63128-2178
314-842-9669
Antionette Jordan is a Saint Louis, Missouri based nurse practitioner. Active license number of Antionette Jordan is 2022047351 in Missouri. Her current practice location is 10004 Kennerly Rd Ste 374b, Saint Louis. Patients can reach her at 314-842-9669 or can fax her at 314-842-1017 and her NPI number (Unique professional ID assigned by NPPES) is 1275249237.
Antionette Jordan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Antionette Jordan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Antionette Jordan |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 10004 Kennerly Rd Ste 374b, Saint Louis,
Missouri, 63128-2178 |
| Phone: | 314-842-9669 |
| Fax: | 314-842-1017 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275249237 |
| NPI Enumeration Date: | 24 Jan, 2023 |
| NPI Last Update On: | 06 Aug, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Antionette Jordan are as mentioned below.
| License Number | Specialization | State | Status | |
| 2022047351 | | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Antionette Jordan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2022047351 | Other | Missouri | LICENSE |
| 420120169 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Antionette Jordan
Po Box 802841,
Kansas City, Missouri |
| Zip: | 64180-2841 |
| Phone Number: | 314-842-9669 |
| Fax Number: | 314-842-1017 |
Patients can reach Antionette Jordan at
10004 Kennerly Rd Ste 374b, Saint Louis, Missouri or can
call to book an appointment on 314-842-9669.
Comments/ Reviews:
Patients can read all the reviews posted for Antionette Jordan below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Antionette Jordan. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.