MARY LEE JORDAN

WEST LAFAYETTE, IN
NPI1528172251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28150559A)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Mrs. MARY LEE JORDAN aprn
3851 N RIVER RD
WEST LAFAYETTE, IN 47906
Phone number: 765-464-2280
Mailing Address
Mrs. MARY LEE JORDAN aprn
713 SHADY CREEK DR
LAFAYETTE, IN 47905-7510
Phone number: 765-446-7911