Individual
CHANDA RENEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2814 N GRANVILLE AVE, MUNCIE, IN 47303-2119
(765) 570-5014
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001664A
IN
Other
Enumeration date
06/21/2012
Last updated
06/10/2024
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