Individual
JORDEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 WISTERIA DR UNIT 1643, SNELLVILLE, GA 30078-4842
(404) 801-4101
Mailing address
2440 WISTERIA DR, SNELLVILLE, GA 30078-0337
(216) 306-7838
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
071217669
GA
342000000X
Transportation Network Company
Primary
071217669
GA
376K00000X
Nurse's Aide
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Other
Enumeration date
10/11/2023
Last updated
03/19/2025
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