Mark, Jordan A

Mark, Jordan A is an individual health care provider with primary practice located at Winn Army Community Hospital 1061 Harmon Ave, Fort Stewart GA 31314. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mark, Jordan A can be contacted via phone (912) 435-6679.

Contact Information

Primary practice address
Winn Army Community Hospital 1061 Harmon Ave Fort Stewart GA 31314
Phone: (912) 435-6679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2020018330 Missouri

Profile Details

NPI number 1275142572
LBN Legal business name Mark, Jordan A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 5 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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