Individual
TIFFANY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1079 RICHARDSON RD, LOUISVILLE, MS 39339-3511
(662) 803-3013
Mailing address
1079 RICHARDSON RD, LOUISVILLE, MS 39339-3511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
906101
MS
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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