JORDAN MALLARD

OKLAHOMA CITY, OK
NPI1265262844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-08-07
Last Update Date2024-09-23
Business Address
JORDAN MALLARD
5600 SE 67TH ST STE 200
OKLAHOMA CITY, OK 73135-1719
Phone number: 405-455-4020
Mailing Address
JORDAN MALLARD
1707 PINON LN
JACKSONVILLE, AR 72076-3423
Phone number: 501-413-2094