Individual
JORDAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
7315 OLD COUNTRY CLUB PL, MERIDIAN, MS 39305-9602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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