Individual
SHANNA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
150 PINE FOREST DR STE 110, SHENANDOAH, TX 77384-5303
(281) 709-2555
Mailing address
28100 SUNSHINE HOLLOW DR, SPRING, TX 77386-4793
(409) 489-6221
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1156999
TX
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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