JORDAN FONTES

COLUMBUS, OH
NPI1184082083
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA 18633-NP)
Enumeration Date2016-02-05
Last Update Date2016-09-07
Business Address
-- JORDAN FONTES NP-C
2800 WEST BROAD ST
COLUMBUS, OH 43204
Phone number: 614-274-4171
Mailing Address
-- JORDAN FONTES NP-C
5571 VININGBROOK DR
DUBLIN, OH 43016-7162
Phone number: 419-989-7181