Individual
JAZZMINE JORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 SAVANNAH PL, DULUTH, GA 30096-6376
(770) 707-4018
Mailing address
PO BOX 1612, STOCKBRIDGE, GA 30281-8612
(770) 815-0663
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN284472
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN284472
GA
Other
Enumeration date
05/25/2022
Last updated
10/07/2024
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