Individual
MRS. KRYSTAL LORI JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
3423 E HIGHLAND DR, STE. A, JONESBORO, AR 72401-6404
(870) 336-0021
Mailing address
4405 STONEY DR, JONESBORO, AR 72404-9571
(870) 219-5534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8032
AR
Other
Enumeration date
08/31/2007
Last updated
05/19/2009
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