Individual
LESA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Mailing address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
40464
WV
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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