Individual
JORDAN NICOLE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-6325
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-6325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
2024003132
MO
Other
Enumeration date
02/13/2019
Last updated
05/14/2024
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