Individual
DR. JORDAN A NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9548
(304) 757-8459
(304) 757-6904
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717
(304) 697-1396
(304) 297-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24824
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075746
—
OH
05
—
3810023601
—
WV
05
—
7100239930
—
WV
Enumeration date
05/26/2009
Last updated
11/12/2020
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