Individual
MRS. SARAH ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
400 OLD MAIN DR, SUMMERSVILLE, WV 26651-1360
(304) 872-3611
(304) 872-4626
Mailing address
400 OLD MAIN DR, SUMMERSVILLE, WV 26651-1360
(304) 872-3611
(304) 872-4626
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
19724
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161623000
—
WV
Enumeration date
05/31/2007
Last updated
07/09/2007
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