Individual
DR. JORDAN BRADFORD HESKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 PLAZA DR STE C, COLUMBUS, IN 47201-2960
(812) 376-9686
Mailing address
360 PLAZA DR STE C, COLUMBUS, IN 47201-2960
(812) 376-9686
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01079789A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017700A
IN
Other
Enumeration date
06/05/2014
Last updated
06/30/2020
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