NPI 1073960308
Jordan Ward, LPN
Practice location
- Address
- 499 Gloster Creek Vlg, Tupelo, MS 38801-4600
- Phone
- (662) 844-1717
- Fax
- (662) 680-5122
- Mailing address
- 2434 S Eason Blvd, Tupelo, MS 38804-6942
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1073960308
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 May 2016
- Record last updated
- 17 May 2016
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.