Individual
HEATHER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 256-2593
Mailing address
85 WYNDHAM DR, ATLANTA, GA 30328-2042
(270) 293-4718
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN254533
GA
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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