Individual
JORDAN BARRETT NALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
Mailing address
14530 DORSEY MILL RD, GLENWOOD, MD 21738-9320
(240) 394-2580
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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