Individual
CARISSA RENAE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
755 N 11TH ST STE P3200, BEAUMONT, TX 77702-1518
(409) 899-4111
Mailing address
755 N 11TH ST STE P3200, BEAUMONT, TX 77702-1518
(409) 899-4111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1178703
TX
Other
Enumeration date
10/23/2024
Last updated
01/30/2025
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