Individual
AMBER NICOLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10128 S US HIGHWAY 25, CORBIN, KY 40701-4984
(606) 595-1500
Mailing address
PO BOX 2602, CORBIN, KY 40702-2602
(606) 595-1500
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
01/04/2023
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