Individual
MELISSA FETT JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 FAIRFIELD AVE, UNIT 10A, SHREVEPORT, LA 71104-4152
(318) 201-3939
Mailing address
3100 FAIRFIELD AVE, UNIT 10A, SHREVEPORT, LA 71104-4152
(318) 201-3939
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
390200000
LA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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