Individual
MRS. TERRI POLITO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BC-GNP
Contact information
Practice address
846 N COCOA BLVD, SUITE A, COCOA, FL 32922-7544
(321) 453-5535
Mailing address
846 N COCOA BLVD, STE A TEHC HEALTH CARE, COCOA, FL 32922-7544
(321) 453-5535
(321) 456-5934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 1705612
FL
Other
Enumeration date
09/04/2007
Last updated
06/02/2009
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