Individual
KEIASHA MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
833 SAINT VINCENTS DR STE 300, BIRMINGHAM, AL 35205-1612
(205) 933-4640
(205) 939-4519
Mailing address
833 SAINT VINCENTS DR STE 300, BIRMINGHAM, AL 35205-1612
(205) 933-4640
(205) 939-4519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-168314
AL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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