JORDAN FAIN

MONTGOMERY, AL
NPI1912487901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-140564)
Enumeration Date2018-08-19
Last Update Date2018-08-19
Business Address
JORDAN FAIN
400 TAYLOR RD
MONTGOMERY, AL 36117-3512
Phone number: 334-213-6255
Mailing Address
JORDAN FAIN
254 DEBBIE DR
DEATSVILLE, AL 36022-2567
Phone number:
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