Cordova, Jordan

Cordova, Jordan is an sole proprietor health care provider with primary practice located at 1488 Jesse Jewell Pkwy Se Ste 201 , Gainesville GA 30501-3803. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is her primary health care specialty. Cordova, Jordan can be contacted via phone (770) 219-9000.

Contact Information

Primary practice address
1488 Jesse Jewell Pkwy Se Ste 201 Gainesville GA 30501-3803
Phone: (770) 219-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1427642479
LBN Legal business name Cordova, Jordan
Credentials CAA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2021
Last updated Sep 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers