Individual
JORDAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E NORTHSIDE DR, CLINTON, MS 39056-3604
(601) 924-0645
(601) 607-1375
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 605-6777
(601) 813-5460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7422
MS
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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