Individual
MRS. JESSICA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3601 CCI DR NW, HUNTSVILLE, AL 35805-2606
(256) 705-4224
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-128337
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-128337
AL
Other
Enumeration date
11/22/2019
Last updated
01/27/2023
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