Hardin, Jordan Lane

Hardin, Jordan Lane is an individual health care provider with primary practice located at 108 N Shackleford Rd , Little Rock AR 72211-2840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hardin, Jordan Lane can be contacted via phone (479) 269-4214.

Contact Information

Primary practice address
108 N Shackleford Rd Little Rock AR 72211-2840
Phone: (479) 269-4214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1881158517
LBN Legal business name Hardin, Jordan Lane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2019
Last updated Oct 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881158517 NPPES
Arkansas MEDICAID 111111111

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