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Individual

JORDAN LEIGH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1000
Mailing address
3210 MEADOW VALLEY DR, ABINGDON, MD 21009-2638
(301) 481-9560

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R219948
MD

Other

Enumeration date
12/18/2021
Last updated
04/17/2023
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