Individual
TAYLOR JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
(504) 842-2036
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
118323
LA
367500000X
Certified Registered Nurse Anesthetist
61773
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
AP10152
LA
Other
Enumeration date
08/06/2018
Last updated
01/25/2022
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