JORDAN ALYSE HEALY MCDANIEL

JACKSON, MS
NPI1649021981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  T-5468)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-27
Last Update Date2024-07-02
Business Address
JORDAN ALYSE HEALY MCDANIEL
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
JORDAN ALYSE HEALY MCDANIEL
416 THORNGATE DR
BRANDON, MS 39042-2334
Phone number: 228-547-8668