Individual
DEANNAH MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1529 INTERNATIONAL BLVD STE 103, NORFOLK, VA 23513-4802
(757) 855-6800
Mailing address
8468 JANE WAY, NORFOLK, VA 23503-4008
(814) 270-3065
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101278658
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
06/12/2023
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