Individual
JORDAN NICOLE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
188 S DONAHUE DR, AUBURN, AL 36849-5513
(737) 718-3795
Mailing address
2260 E UNIVERSITY DR APT 4G, AUBURN, AL 36830-3341
(734) 718-3795
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2050
AL
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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