Individual
MS. JENNIFER JEAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5145 FM 620 N STE B-110, AUSTIN, TX 78732-1815
(512) 266-0007
(512) 266-0077
Mailing address
5145 FM 620 N STE B-110, AUSTIN, TX 78732-1815
(512) 266-0007
(512) 266-0077
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
PA04718
TX
363AM0700X
Medical Physician Assistant
Primary
PA04718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00393129
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
05/11/2020
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