Individual
TRACY MINCHEW JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2104 LOOP RD, SUITE C, WINNSBORO, LA 71295-3338
(318) 435-4571
(318) 435-7458
Mailing address
2104 LOOP RD, SUITE C, WINNSBORO, LA 71295-3338
(318) 435-4571
(318) 435-7458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APO6744
LA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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