Individual
JOANNE MELBA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1850 W PLEASANT RUN RD, LANCASTER, TX 75146-1220
(972) 275-1900
Mailing address
1850 W PLEASANT RUN RD, LANCASTER, TX 75146-1220
(972) 275-1900
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG11190010
TX
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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