Individual
JORDAN CATHERINE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8715 VILLAGE DR STE 518, SAN ANTONIO, TX 78217-5423
(210) 590-7712
Mailing address
8715 VILLAGE DR STE 518, SAN ANTONIO, TX 78217-5423
(210) 590-7712
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1086449
TX
363LA2100X
Acute Care Nurse Practitioner
178473
AK
Other
Enumeration date
09/24/2021
Last updated
09/06/2022
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