Individual
LANEY DAYLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 WYNN PARK RD, CORNING, AR 72422-2509
(870) 857-3748
Mailing address
510 WYNN PARK RD, CORNING, AR 72422-2509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
225329
AR
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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