Individual
JORDYN NICOLE SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
(812) 698-7095
Mailing address
4851 GARDEN SPRING LN APT 207, GLEN ALLEN, VA 23059-7505
(812) 698-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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