Individual
HEATHER LYNN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1676 VIEWPOND DR SE, SUITE 100A, KENTWOOD, MI 49508-4994
(616) 455-9450
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005550
MI
Other
Enumeration date
07/06/2009
Last updated
04/24/2017
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