Individual
NINA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 N WARSON RD STE 132E, SAINT LOUIS, MO 63132-1100
(314) 574-4203
Mailing address
1515 N WARSON RD STE 132E, SAINT LOUIS, MO 63132-1100
(314) 574-4203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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