Individual
JORDAN HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 SHERWOOD FOREST DR, NEW ORLEANS, LA 70119-3716
(504) 975-6647
Mailing address
115 SHERWOOD FOREST DR, NEW ORLEANS, LA 70119-3716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
312069
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
11/07/2019
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