Individual
MADELINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 HICKORY ST, ABILENE, TX 79601-2325
(325) 677-2801
Mailing address
1850 HICKORY ST STE 102, ABILENE, TX 79601-2334
(325) 677-2801
(325) 677-9110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14241
TX
Other
Enumeration date
12/07/2020
Last updated
01/29/2021
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