Individual
AMANDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5517 S ALAMEDA ST, CORPUS CHRISTI, TX 78412-3202
(361) 994-1214
Mailing address
6817 JETS CT, CORPUS CHRISTI, TX 78414-4172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142824
TX
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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