Individual
JORDAN BASS WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8000 LIBERTY PKWY STE 114, VESTAVIA, AL 35242-7563
(205) 968-5988
(205) 968-5990
Mailing address
1575 MONTGOMERY HWY, VESTAVIA HILLS, AL 35216-4510
(205) 822-1150
(205) 822-1158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-135908
AL
Other
Enumeration date
01/19/2017
Last updated
04/24/2025
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