Individual
JORDANA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585
Mailing address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5266
WI
363A00000X
Physician Assistant
Primary
PA9118672
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/15/2020
Last updated
08/28/2024
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