Raven Jordan, FNP
NPI #1083211544 in Barbourville, Kentucky
Provider Information
- NPI Number
- 1083211544
- Entity Type
- Individual
- Name
- Raven Jordan, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Oct 7, 2020
- Last Updated
- Sep 22, 2021
Practice Location
- Address
- 215 N ALLISON AVE
- City
- Barbourville
- State
- Kentucky
- ZIP Code
- 40906-1336
- Phone
- (606) 546-9287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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