Individual
JORDAN M LONGNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
609 SW 8TH ST FL 6, BENTONVILLE, AR 72712-7886
(337) 991-9276
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005126
AR
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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