Jordan, Charles Raymond
Jordan, Charles Raymond is an sole proprietor health care provider with primary practice located at 1350 Sunset Dr Ste B , Grenada MS 38901-4079. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jordan, Charles Raymond can be contacted via phone (662) 466-3632.Contact Information
Primary practice address
1350 Sunset Dr Ste B
Grenada MS 38901-4079
Phone: (662) 466-3632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R869908 | Mississippi |
Profile Details
| NPI number | 1306126263 |
|---|---|
| LBN Legal business name | Jordan, Charles Raymond |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Aug 24th, 2011 - about 13 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.
Popular Providers
-
Floyd, Amy
965 Avent Dr , Grenada MS 38901-5045 -
Goss, Jennifer Lee
1117 Sunset Dr Suite 104, Grenada MS 38901-4080 -
Fite, Emily A
1300 Sunset Dr Suite Q, Grenada MS 38901-4086 -
Phelon, Shonda Jacqueline
1970 Grandview Dr , Grenada MS 38901-5066 -
Brock, Nell Catherine
108 Vfw Rd , Grenada MS 38901 -
Tritt, Ronnie
960 Avent Dr , Grenada MS 38901-5230 -
Harville, Kayla Hamilton
960 Avent Dr , Grenada MS 38901-5230 -
Cummings, Betsy
700 Sunset Dr , Grenada MS 38901-4091