Individual
AUTUMN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3000
Mailing address
PO BOX 287, TERRA CEIA, FL 34250-0287
(978) 886-2788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101275788
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0101275788
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2019
Last updated
05/05/2026
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