Individual
MS. TERRI LEE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.,
Contact information
Practice address
919 E MAIN ST STE 1000, RICHMOND, VA 23219-4623
(804) 729-6904
(855) 737-5542
Mailing address
333 COMMERCE ST STE 700, NASHVILLE, TN 37201-1835
(804) 729-6904
(855) 737-5542
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166231
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010199786
—
VA
Enumeration date
05/25/2006
Last updated
04/22/2020
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