Individual
DR. JORDAN ROSE MECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6355 WALKER LANE, SUITE 308, ALEXANDRIA, VA 22310-3247
(703) 313-7700
(703) 313-0178
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134883093
—
VA
05
—
30016311390001
—
VA
Enumeration date
10/27/2021
Last updated
10/12/2023
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