Individual
JORDYN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3608 CHICKASAW DR, EDMOND, OK 73013-6854
(580) 318-9212
Mailing address
3608 CHICKASAW DR, EDMOND, OK 73013-6854
(580) 318-9212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0124430
OK
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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