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Individual

MRS. CASAUNDRA JAE JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 444-6314
Mailing address
PO BOX 1645, AUBURN, AL 36831-1645

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-102421
AL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1-102421
AL

Other

Enumeration date
09/19/2022
Last updated
10/31/2024
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