Individual
JORDAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
581 NOMOE RD, ROYAL, AR 71968-9752
(501) 385-7280
Mailing address
581 NOMOE RD, ROYAL, AR 71968-9752
(501) 385-7280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216997
AR
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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