Individual
SHEILA RENEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14714 PARK AVENUE EXT, MEADVILLE, PA 16335-9400
(814) 337-4228
Mailing address
11990 IROQUOIS RD, CONNEAUT LAKE, PA 16316-3236
(814) 547-1795
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN260912L
PA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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