Individual
GRACE E. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240800
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
30458
SC
Other
Enumeration date
06/26/2023
Last updated
07/02/2025
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