Individual
MRS. DONNAH MARIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2251
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 383-2251
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
422388-1
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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