Individual
CAMILLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
422 IRISH CIR, HOPKINSVILLE, KY 42240-3869
(000) 000-0000
Mailing address
422 IRISH CIR, HOPKINSVILLE, KY 42240-3869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009070
KY
Other
Enumeration date
11/08/2014
Last updated
10/08/2019
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