Individual
JORDAN MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
188 W HEBBLE AVE, FAIRBORN, OH 45324-4960
(937) 559-4912
Mailing address
PO BOX 55, WALTON, KY 41094-0055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.443604
OH
Other
Enumeration date
03/10/2021
Last updated
01/28/2022
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