NPI 1447733712
Walter Jerome Jordan
Practice location
- Address
- 600 40th St N APT 111, St Petersburg, FL 33713-6339
- Phone
- (727) 657-8392
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1447733712
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Sep 2018
- Record last updated
- 12 Sep 2018
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.