Individual
JORDAN N. MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8555
(210) 358-7579
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8555
(210) 358-7579
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1101445
TX
363LA2100X
Acute Care Nurse Practitioner
2022066689
TX
Other
Enumeration date
10/24/2022
Last updated
02/04/2023
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