Individual
JENNIFER JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
925 VILLAGE HWY, RUSTBURG, VA 24588-4591
(434) 528-0005
Mailing address
925 VILLAGE HWY, RUSTBURG, VA 24588-4591
(434) 528-0005
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0001218815
VA
Other
Enumeration date
05/01/2025
Last updated
03/29/2026
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