Individual
JORDAN LEE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 BAILEY DR STE 101, STEWARTSTOWN, PA 17363-8297
(717) 993-2543
Mailing address
200 BAILEY DR STE 101, STEWARTSTOWN, PA 17363-8297
(717) 993-2543
(717) 993-2044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP036263
PA
363LF0000X
Family Nurse Practitioner
Primary
RN721414
PA
363LF0000X
Family Nurse Practitioner
Primary
SP036263
PA
Other
Enumeration date
05/21/2026
Last updated
06/29/2026
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