Individual
TIFFANY CARR JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2751 WOODDALE BLVD STE A, BATON ROUGE, LA 70805-7567
(225) 925-1906
(225) 362-5356
Mailing address
PO BOX 66558, BATON ROUGE, LA 70896-6558
(225) 925-4282
(225) 362-5319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227131
LA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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