Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA T. JORDAN, OGNP
Active Sole ProprietorAMANDA T. JORDAN, OGNP is a Women's Health Nurse Practitioner healthcare provider located in MCCOMB, Mississippi. NPI 1710044474 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · MCCOMB, MS
Registration Details
- NPI Number
- 1710044474
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2007 (19.645139198968 yrs)
- Last Updated
- Jul 9, 2007
- License
-
R575623 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 E PRESLEY BLVDMCCOMB, MS, 396485908Browse MS providers · Browse ZIP 39648
- Phone
- 6016841030
- Fax
- 6016845999
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
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.