Individual
JORDAN R LADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11725 N ILLINOIS ST, SUITE 250, CARMEL, IN 46032-3008
(317) 688-5300
(317) 688-5313
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001350A
IN
Other
Enumeration date
11/22/2011
Last updated
10/07/2016
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