Jordan, Avery Miles

Jordan, Avery Miles is an individual health care provider with primary practice located at 1201 E Broad Rock Rd Rm 1S-112, Richmond VA 23249-0001. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Jordan, Avery Miles can be contacted via phone (804) 675-5000.

Contact Information

Primary practice address
1201 E Broad Rock Rd Rm 1S-112 Richmond VA 23249-0001
Phone: (804) 675-5000
Fax: (804) 675-5335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0002040749 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306001152 Virginia

Profile Details

NPI number 1639362809
LBN Legal business name Jordan, Avery Miles
Credentials LPTA/LPN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 2007 - about 17 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