JORDAN M LONGNECKER

BENTONVILLE, AR
NPI1528597028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A005126)
Enumeration Date2017-06-08
Last Update Date2017-06-08
Business Address
JORDAN M LONGNECKER NP
609 SW 8TH ST FL 6
BENTONVILLE, AR 72712-7886
Phone number: 337-991-9276
Mailing Address
JORDAN M LONGNECKER NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276