Shaletra Jordan

NPI #1699164285 in Carthage, Texas

Provider Information

NPI Number
1699164285
Entity Type
Individual
Name
Shaletra Jordan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 20, 2015
Last Updated
Jan 20, 2015

Practice Location

Address
412 OVERLAND ST
State
Texas
ZIP Code
75633-1820
Phone
(903) 742-0197

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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Organizations

Provider Name
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