Individual
JORDAN MARIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5605 NORTHCREST DR, FORT WAYNE, IN 46825-5430
(260) 479-5173
Mailing address
5605 NORTHCREST DR, FORT WAYNE, IN 46825-5430
(260) 479-5173
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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