Individual
MRS. JENNIFER ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6152 N MAIN ST, WILKINSON, IN 46186-9640
(317) 345-3473
Mailing address
6152 N MAIN ST, WILKINSON, IN 46186-9640
(317) 345-3473
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27053344A
IN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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