Individual
SUSAN MARGARET JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 HAGNER ST, PHILADELPHIA, PA 19128-1407
(267) 752-2660
Mailing address
611 HAGNER ST, PHILADELPHIA, PA 19128-1407
(267) 752-2660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN563648
PA
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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