Individual
JORDAN HANBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 W 40TH AVE STE 301C, PINE BLUFF, AR 71603-6069
(870) 541-6060
(870) 541-6061
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E14322
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
07/12/2023
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