Individual
JASMIN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
512 CLAYTON ST, ORLANDO, FL 32804-4402
(321) 696-9146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9468438
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11027013
FL
Other
Enumeration date
09/12/2022
Last updated
10/05/2023
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