Individual
VALERIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4257 FRANCIS RD, JACKSONVILLE, FL 32209-1905
(904) 383-6822
Mailing address
4257 FRANCIS RD, JACKSONVILLE, FL 32209-1905
(904) 383-6822
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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