Individual
JORDAN NIGHSWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 SYDNEY ST, VALLEY, AL 36854-2128
(419) 343-1283
Mailing address
1114 SYDNEY ST, VALLEY, AL 36854-2128
(419) 343-1283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2025
Last updated
08/07/2026
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