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1972354538
JORDAN WALL
BIRMINGHAM, AL
NPI
1972354538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-159731)
Enumeration Date
2024-04-01
Last Update Date
2024-04-25
Business Address
JORDAN WALL CRNP
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 205-939-7000
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Mailing Address
JORDAN WALL CRNP
7751 BELFORT PKWY STE 120
JACKSONVILLE, FL 32256-6921
Phone number: 904-372-3943
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