Individual
DEANNA MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1380 DUBLIN RD, COLUMBUS, OH 43215-1025
(614) 488-7117
Mailing address
5325 COOPER LN, PLAIN CITY, OH 43064-8515
(614) 946-5420
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN427469
OH
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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