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Individual

AMY R JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR STE 212A, ABINGDON, VA 24211-7664
(276) 258-3740
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189186
VA
363LF0000X
Family Nurse Practitioner
35017
TN

Other

Enumeration date
06/04/2024
Last updated
09/25/2024
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