Individual
CHARLENE MICHELE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
2955 MARKET ST, SUITE 5, CHRISTIANSBURG, VA 24073-6575
(540) 381-5291
Mailing address
2013 JEFFERSON ST SW, FL 2, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168446
VA
Other
Enumeration date
11/11/2009
Last updated
07/27/2017
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