NPI 1023702719
Jordan Gorham
Practice location
- Address
- 550 Brandon Ave, Charlottesville, VA 22903
- Phone
- (727) 410-2272
- Mailing address
- 9555 120th Street Seminole, Seminole, FL 33772
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1023702719
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jun 2023
- Record last updated
- 6 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.