AMANDA T. JORDAN

MCCOMB, MS
NPI1710044474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MS  R575623)
Enumeration Date2007-01-02
Last Update Date2007-07-09
Business Address
-- AMANDA T. JORDAN OGNP
114 E PRESLEY BLVD
MCCOMB, MS 39648-5908
Phone number: 601-684-1030
Mailing Address
-- AMANDA T. JORDAN OGNP
7510 MOAK RD
SUMMIT, MS 39666-7580
Phone number: 601-684-1205
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