Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MARK WARREN
Active Sole ProprietorJORDAN MARK WARREN is a Pharmacist Clinician (PhC) healthcare provider located in HAUGHTON, Louisiana. NPI 1184397192 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · HAUGHTON, LA
Registration Details
- NPI Number
- 1184397192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2021 (5.0901800502703 yrs)
- Last Updated
- Sep 13, 2023
- License
-
PST.024964 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 HIGHWAY 80HAUGHTON, LA, 710379430Browse LA providers · Browse ZIP 71037
- Phone
- 3189498476
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.