Mallory Odom Jordan, FNP
NPI #1073285573 in Bay Springs, Mississippi
Provider Information
- NPI Number
- 1073285573
- Entity Type
- Individual
- Name
- Mallory Odom Jordan, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Oct 2, 2021
- Last Updated
- Oct 2, 2021
Practice Location
- Address
- 27 S SIXTH ST
- City
- Bay Springs
- State
- Mississippi
- ZIP Code
- 39422-9052
- Phone
- (601) 764-2155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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