Individual
DR. JESSICA MAYA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5131 S RIDGEWOOD AVE STE A, PORT ORANGE, FL 32127-5168
(386) 222-2991
(386) 478-7512
Mailing address
1648 TAYLOR RD STE 413, PORT ORANGE, FL 32128-6753
(808) 286-5529
(386) 478-7512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5812
FL
Other
Enumeration date
06/05/2020
Last updated
07/31/2025
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