Individual
MS. CYNTHIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1989 MIAMISBURG CENTERVILLE RD STE 201, DAYTON, OH 45459-3858
(937) 401-7575
(937) 522-8350
Mailing address
1989 MIAMISBURG CENTERVILLE RD STE 201, DAYTON, OH 45459-3858
(937) 401-7575
(937) 522-8350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005021RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.005021RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212452
—
OH
Enumeration date
02/24/2017
Last updated
02/14/2023
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