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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LANCE JACOB JORDAN, ATC

Active Sole Proprietor

LANCE JACOB JORDAN, ATC is a Athletic Trainer healthcare provider located in MOUNTAIN BRK, Alabama. NPI 1861187106 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MOUNTAIN BRK, AL

Registration Details

NPI Number
1861187106
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2023 (3.2989469582555 yrs)
Last Updated
Apr 11, 2023
Sole Proprietor
Yes

Practice Information

Address
3650 BETHUNE DR
MOUNTAIN BRK, AL, 352231420
Browse AL providers · Browse ZIP 35223
Phone
2059038496
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MOUNTAIN BRK, AL

Name Credential NPI
MS. JESSICA LEIGH MCMANUS ATC 1700242658
RACHEL KOPF PRESLEY ATC 1205290731
HAYDEN GRIFFIN LAT, ATC 1952847709
BENJAMIN ANGLE 1346756541
MR. ADAM MARTIN ATC 1225742976
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.