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Individual

WILLIAM ALFRED JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN NP

Contact information

Practice address
1660 COLUMBIA ROAD NW, WASHINGTON, DC 20009-3697
(202) 328-3717
(202) 588-8101
Mailing address
1220 12TH ST SE, SUITE 120, WASHINGTON, DC 20003-3722
(202) 328-3717
(202) 588-8101

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN43914
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024905300
DC
Enumeration date
03/20/2007
Last updated
09/15/2011
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