Individual
SHEREE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 HARRISON AVE, ELKINS, WV 26241-3325
(304) 636-4390
Mailing address
51 RIVERVIEW DR, PETERSBURG, WV 26847-9417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32780
WV
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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