Jordan, Jamie L

Jordan, Jamie L is an individual health care provider with primary practice located at 630 W Court St , Paragould AR 72450-4247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Jamie L can be contacted via phone (870) 236-6911.

Contact Information

Primary practice address
630 W Court St Paragould AR 72450-4247
Phone: (870) 236-6911
Fax: (870) 236-8129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A02927 Arkansas

Profile Details

NPI number 1285726869
LBN Legal business name Jordan, Jamie L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285726869 NPPES
Arkansas MEDICAID 177311758

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