Jordan, Tammara Ann

Jordan, Tammara Ann is an sole proprietor health care provider with primary practice located at 102 Medical Park , Hattiesburg MS 39401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jordan, Tammara Ann can be contacted via phone (601) 261-5159.

Contact Information

Primary practice address
102 Medical Park Hattiesburg MS 39401
Phone: (601) 261-5159
Fax: (601) 545-1740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2203 Mississippi

Profile Details

NPI number 1104979731
LBN Legal business name Jordan, Tammara Ann
Credentials M.S.,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Aug 24th, 2020 - about 6 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 1104979731 NPPES
Mississippi Other 7346349 AETNA
Mississippi Other 0800517 AETNA
Mississippi MEDICAID 1772892 AETNA
Mississippi Other 731632210 AETNA
Mississippi Other 6061226 AETNA
Mississippi Other 3504919 AETNA
Mississippi Other 731632210 AETNA
Mississippi Other 7345349 AETNA

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