Individual
JORDAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, RN
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
1705 LOWER MILLSTONE LN, SALISBURY, MD 21801-7018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018302
PA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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