Individual
MR. JUSTIN KIMBERLAND JOURDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP-C
Contact information
Practice address
523 ARBOR STATION DR, LONG BEACH, MS 39560-5734
(228) 860-4502
Mailing address
523 ARBOR STATION DR, LONG BEACH, MS 39560-5734
(228) 860-4502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903308
MS
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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