Individual
JORDAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 DECATUR HWY STE 117, GARDENDALE, AL 35071-2384
(205) 971-3305
Mailing address
502 20TH ST S, BIRMINGHAM, AL 35233-2028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-159934
AL
Other
Enumeration date
09/14/2022
Last updated
04/24/2025
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