Individual
JORDAN NOEL BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N SWALLOW TAIL DR STE 107, PORT ORANGE, FL 32129-6103
(386) 446-9935
Mailing address
1612 DELPHI WAY, NEW SMYRNA BEACH, FL 32168-9363
(407) 221-6942
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6533
FL
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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