NPI 1063100543

Theresa Jordan

Practitioner Attendant Care Provider Pensacola, FL

Practice location

Address: 1236 Benning Pl, Pensacola, FL 32506-1205
Phone: (813) 693-9099
Mailing address: 13 Alan Adale, Pensacola, FL 32506-4136

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Florida →

Registry record

NPI: 1063100543
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2023
Record last updated: 24 Apr 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.