MS. Destiny Jordan

NPI #1790353969 in Statesboro, Georgia

Provider Information

NPI Number: 1790353969
Entity Type: Individual
Name: MS. Destiny Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 15, 2021
Last Updated: Jun 15, 2021

Practice Location

Address: 1332 SOUTHERN DR
City: Statesboro
State: Georgia
ZIP Code: 30460-1360
Phone: (912) 478-4636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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