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Antionette Jordan

Nurse Practitioner in Saint Louis, MO · enumerated 2023 · practices at Nhs South LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275249237

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Registry record

Entity type Individual (Type 1)
Name Antionette Jordan
Sex Female
Practice address 10004 Kennerly Rd Ste 374b, Saint Louis, MO, 63128
Phone (314) 842-9669
Fax (314) 842-1017
Enumeration date Jan 24, 2023
Last updated in NPPES Aug 6, 2023

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2022047351 (MO) Primary

Other identifiers

Identifier Type State Issuer
2022047351 Other MO LICENSE
420120169 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Antionette Jordan practice?
The practice location on file with NPPES is in Saint Louis, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Antionette Jordan?
The National Provider Identifier (NPI) for Antionette Jordan is 1275249237, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-06.