Individual
THERESA CHARLENE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 768-7462
Mailing address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 768-7462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-061812
AL
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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