Individual
DR. TAYLOR BLAINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3725
(256) 558-1836
Mailing address
634 E BURNETT AVE, LOUISVILLE, KY 40217-1122
(256) 558-1836
(502) 852-0066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1090432A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
06/08/2023
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