Individual
JORDAN CARLA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 CIVIC CENTER BLVD, NEPHROLOGY/HYPERTENSION, PHILADELPHIA, PA 19104-5127
(215) 662-2638
Mailing address
3400 CIVIC CENTER BLVD, NEPHROLOGY/HYPERTENSION, PHILADELPHIA, PA 19104-5127
(215) 662-2638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057150
PA
Other
Enumeration date
08/25/2014
Last updated
09/20/2016
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