Individual
TIFFANY JORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 W 30TH ST, INDIANAPOLIS, IN 46208-4926
(317) 701-0684
Mailing address
1021 W 30TH ST, INDIANAPOLIS, IN 46208-4926
(317) 701-0684
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
24016558
IN
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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