Individual
JORDAN ERIC SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
1927 KENDALE PL, LANCASTER, PA 17601-3625
(717) 925-9900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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