Individual
PATIENCE MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6100
(337) 261-6102
Mailing address
1023 BAYOULAND DR, PARKS, LA 70582-6266
(337) 789-1444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10153
LA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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