Individual
ALEXANDRA JEANETTE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7700 UNIVERSITY DR, HOSPITALIST DEPARTMENT, WEST CHESTER, OH 45069-2505
(513) 298-7325
(513) 298-7406
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35087354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201052340
—
IN
05
—
2666100
—
OH
01
—
35087354
LICENSE NUMBER
OH
05
—
7100171330
—
KY
Enumeration date
06/22/2006
Last updated
06/15/2017
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