Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERTA MARIE JORDAN, CNM, FNP
ActiveROBERTA MARIE JORDAN, CNM, FNP is a Nurse Practitioner healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1649550492 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1649550492
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2011 (14.93001026221 yrs)
- Last Updated
- Sep 22, 2025
- Licenses
-
8127 (MN)71012163A (IN)71012163A (IN)458 (MN)4704244874 (MI)
Practice Information
- Address
-
6452 CITY WEST PARKWAYNEW KINGDOM HEALTHCAREEDEN PRAIRIE, MN, 553440010Browse MN providers · Browse ZIP 55344
- Phone
- 9529990333
- Fax
- 9523002558
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Advanced Practice Midwife
- Additional Specialty
- Advanced Practice Midwife
Other Nurse Practitioner Providers in EDEN PRAIRIE, MN
| Name | Credential | NPI |
|---|---|---|
| LINDA ELD | CRNP | 1821098369 |
| KAYE L. BAUM | FNP | 1558312686 |
| KATIE L SEREMET | NP | 1144534140 |
| ANGELA G WELLS | NP-C | 1942633714 |
| JULIE LAROSE | — | 1639550817 |
| MS. TAMMY LYNN PROHOFSKY | APRN, CNP | 1720689920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.