Individual
MR. JORDAN BLAKE CARMEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
971 LAKELAND DR STE 1052, JACKSON, MS 39216-4609
(601) 981-9503
(601) 982-0148
Mailing address
971 LAKELAND DR STE 1052, JACKSON, MS 39216-4609
(601) 981-9503
(601) 982-0148
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R890584
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R890584
MISSISSIPPI BOARD OF NURSING
MS
Enumeration date
05/15/2012
Last updated
05/15/2012
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