Individual
TERRI JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1232 CORNERSTONE BLVD APT 261, DOWNINGTOWN, PA 19335-5358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN259474L
PA
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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