RAVEN JORDAN

BARBOURVILLE, KY
NPI1083211544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3015160)
Enumeration Date2020-10-07
Last Update Date2021-09-22
Business Address
RAVEN JORDAN FNP
215 N ALLISON AVE
BARBOURVILLE, KY 40906-1336
Phone number: 606-546-9287
Mailing Address
RAVEN JORDAN FNP
18 GRANGER CT
BARBOURVILLE, KY 40906-7212
Phone number: 606-627-4235