JORDAN WALL

BIRMINGHAM, AL
NPI1972354538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-159731)
Enumeration Date2024-04-01
Last Update Date2024-04-25
Business Address
JORDAN WALL CRNP
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 205-939-7000
Mailing Address
JORDAN WALL CRNP
7751 BELFORT PKWY STE 120
JACKSONVILLE, FL 32256-6921
Phone number: 904-372-3943