Individual
MRS. KIMBERLY DAWN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
303 DACUSVILLE HWY, EASLEY, SC 29640-1510
(864) 855-0853
(864) 855-5882
Mailing address
108 STRATFORD DR, EASLEY, SC 29642-3563
(864) 306-9644
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1041
SC
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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