Individual
MRS. JAMIE L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-6911
(870) 236-8129
Mailing address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-6911
(870) 236-8129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A02927
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177311758
—
AR
Enumeration date
09/29/2006
Last updated
05/13/2016
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