Individual
JADA JEZEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30043-7832
(561) 989-4403
Mailing address
5415 SUGARLOAF PKWY STE 1606, LAWRENCEVILLE, GA 30043-7832
(561) 989-4403
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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