Individual
DR. JEREMY SCOTT JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2718 WALTON DR, OCEAN SPRINGS, MS 39564-5424
(228) 860-8868
Mailing address
2718 WALTON DR, OCEAN SPRINGS, MS 39564-5424
(228) 860-8868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1061
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356557
—
MS
01
—
1061
MS DOCTORATE OF CHIROPRACTIC LICENSE NUMBER
MS
Enumeration date
12/15/2006
Last updated
04/17/2024
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