Individual
BRYANNA LYNN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.178374.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012903
—
OH
Enumeration date
11/30/2022
Last updated
04/28/2025
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