Individual
MARY L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8341
Mailing address
2 KING GEORGE CV, RUTHER GLEN, VA 22546-5132
(804) 448-1536
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
0001093822
VA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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