MR. Charles Raymond Jordan, FNP
NPI #1306126263 in Grenada, Mississippi
Provider Information
- NPI Number
- 1306126263
- Entity Type
- Individual
- Name
- MR. Charles Raymond Jordan, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 24, 2011
- Last Updated
- Aug 24, 2011
Practice Location
- Address
- 1350 SUNSET DR STE B
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-4079
- Phone
- (662) 466-3632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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