Individual
MR. TRAYPANIEL THEODORE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, BSN, RN
Contact information
Practice address
3895 CEDAR BLUFF LN, JACKSONVILLE, FL 32226-5900
(813) 846-8251
Mailing address
3895 CEDAR BLUFF LN, JACKSONVILLE, FL 32226-5900
(813) 846-8251
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9494078
FL
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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