Individual
JORDIN MALLORY HERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(404) 785-5437
Mailing address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN243199
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN243199
GA
Other
Enumeration date
04/19/2021
Last updated
12/05/2022
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