Individual
BETTY VENTRESS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1015 SANDERS ST, PINE PRAIRIE, LA 70576
(337) 599-2212
(337) 599-2388
Mailing address
800 E MAIN ST, VILLE PLATTE, LA 70586-4618
(337) 599-2212
(337) 599-2388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN024906
LA
Other
Enumeration date
01/03/2007
Last updated
12/02/2009
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