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Individual

JAIME LEIGH JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
10617 N 39TH WAY, PHOENIX, AZ 85028-3420
(719) 661-2127
Mailing address
10617 N 39TH WAY, PHOENIX, AZ 85028-3420

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
263793
AZ

Other

Enumeration date
06/23/2026
Last updated
06/23/2026
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