JORDAN LEE EDWARDS

WENTZVILLE, MO
NPI1043852775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2019026971)
Enumeration Date2019-10-15
Last Update Date2019-10-22
Business Address
JORDAN LEE EDWARDS NP-C
105 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385-3289
Phone number: 636-625-5200
Mailing Address
JORDAN LEE EDWARDS NP-C
315 VININGS BLVD
O FALLON, MO 63366-7582
Phone number: 870-634-6883
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