Individual
KRYSTAL NICOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7943 GLENBRAE ST, HOUSTON, TX 77061-2307
(713) 847-0258
Mailing address
PO BOX 300324, HOUSTON, TX 77230-0324
(713) 847-0258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
815113
TX
164X00000X
Licensed Vocational Nurse
206799
TX
Other
Enumeration date
12/02/2008
Last updated
01/05/2021
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