Individual
DR. TAMEKA P JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHSC, PHD, CHES
Contact information
Practice address
1929 W AIRLINE HWY, LA PLACE, LA 70068-3353
(225) 255-1217
Mailing address
14444 SUMMERSET DR, GONZALES, LA 70737-7087
(225) 255-1217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
14932
LA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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