Individual
KOMEKA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4203 HAMPSTEAD CT, ARLINGTON, TX 76013-5509
(601) 896-6288
Mailing address
4203 HAMPSTEAD CT, ARLINGTON, TX 76013-5509
(601) 896-6288
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
612921
MS
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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