Individual
JORDAN FONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2800 WEST BROAD ST, COLUMBUS, OH 43204
(614) 274-4171
Mailing address
5571 VININGBROOK DR, DUBLIN, OH 43016-7162
(419) 989-7181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 18633-NP
OH
Other
Enumeration date
02/05/2016
Last updated
09/07/2016
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