NPI 1235970625
Aliza Jordan
Practice location
- Address
- PO Box 1848, University, MS 38677-1848
- Phone
- (662) 915-7901
- Mailing address
- 2515 Allen Rd, Smithdale, MS 39664-4081
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1235970625
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jun 2024
- Record last updated
- 1 Jun 2024
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.