Individual
JORDAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13914 MOUNT LAUREL TRL, BRADENTON, FL 34211-1727
(303) 548-4655
Mailing address
13914 MOUNT LAUREL TRL, BRADENTON, FL 34211-1727
(303) 548-4655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119909
FL
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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