Individual
KAREN ELIZABETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
172 SOUTHFIELD RD, SHREVEPORT, LA 71105-3721
(318) 464-1755
Mailing address
172 SOUTHFIELD RD, SHREVEPORT, LA 71105-3721
(318) 464-1755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211569
LA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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