Individual
LINDA S JOURDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8202 CLEARVISTA PKWY, SUITE 6B, INDIANAPOLIS, IN 46256-1442
(317) 621-1670
(317) 621-1680
Mailing address
6303 HARBRIDGE RD, INDIANAPOLIS, IN 46220-4947
(317) 253-2552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037882A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000606321
ANTHEM PIN
—
05
—
100347360
—
IN
01
—
4205656
AETNA
—
01
—
P01291583
RAILROAD MEDICARE
IN
Enumeration date
02/17/2006
Last updated
02/09/2022
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