Individual
ANGELA SUE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 WILSON ST, PORTSMOUTH, OH 45662-5672
(740) 935-7236
Mailing address
304 WILSON ST, PORTSMOUTH, OH 45662-5672
(740) 935-7236
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
RF895684
OH
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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