Individual
AMBER LAUREN JACKSON-JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-5000
(307) 688-5069
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-5000
(307) 688-5069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
30799
WY
163W00000X
Registered Nurse
Primary
30799
WY
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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