Individual
MRS. CHARLOTTE DENISE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401
(601) 450-0310
(601) 450-0321
Mailing address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R870743
MS
Other
Enumeration date
07/08/2019
Last updated
01/24/2025
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