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Individual

MR. DREXEL L JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
3000 KAVANAUGH BLVD, SUITE 300, LITTLE ROCK, AR 72205-3767
(501) 350-3055
Mailing address
917 N SPRUCE ST, LITTLE ROCK, AR 72205-1956
(501) 350-3055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AO1399
AR

Other

Enumeration date
10/13/2006
Last updated
09/09/2009
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