Individual
ABIGAIL GRACE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(252) 337-4750
Mailing address
2629 E STRINGHAM AVE APT B115, SALT LAKE CITY, UT 84109-3915
(252) 337-4750
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
12949961-3102
UT
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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