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Individual

BRITTANI JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6171 FAWNLAKE CT, NEW KENT, VA 23124-2977
(804) 874-1571
Mailing address
6171 FAWNLAKE CT, NEW KENT, VA 23124-2977
(804) 874-1571

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
0001220261
VA

Other

Enumeration date
03/13/2019
Last updated
03/13/2019
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