Individual
MRS. LAUREN BARKET JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1101 SAM PERRY BLVD STE 401, FREDERICKSBURG, VA 22401-4466
(540) 940-2000
Mailing address
1101 SAM PERRY BLVD STE 401, FREDERICKSBURG, VA 22401-4466
(540) 940-2000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024170128
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104188085
—
VA
Enumeration date
06/15/2012
Last updated
11/21/2023
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