Individual
JORDAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MICHAEL ST, AMA, LA 70031-2151
(601) 218-6444
Mailing address
151 MICHAEL ST, AMA, LA 70031-2151
(601) 218-6444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919074
MS
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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