Individual
JASON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 PIERREMONT RD STE 205, SHREVEPORT, LA 71106-2093
(318) 632-7426
(800) 446-6048
Mailing address
920 PIERREMONT RD STE 205, SHREVEPORT, LA 71106-2093
(318) 632-7426
(800) 446-6048
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
313429
LA
Other
Enumeration date
03/24/2016
Last updated
10/14/2025
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