Individual
JORDAN ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
131 ROUTE 70 STE 100B, MEDFORD, NJ 08055-9501
(856) 673-3960
(609) 451-5518
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 673-3960
(609) 451-5518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00712100
NJ
Other
Enumeration date
07/16/2022
Last updated
05/20/2025
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