Individual
JULIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
160 S RIVER RD, BEDFORD, NH 03110-6927
(603) 537-1300
(603) 310-0191
Mailing address
14B TSIENNETO RD, DERRY, NH 03038-1505
(603) 537-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0548 P
NH
Other
Enumeration date
05/17/2007
Last updated
12/04/2023
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