Individual provider · Type 1 NPI

Mallory Odom Jordan, FNP

Family Nurse Practitioner · Bay Springs, MS

NPI number 1073285573 Active

About NPI 1073285573

Mallory Odom Jordan, FNP's National Provider Identifier is 1073285573, issued on Oct 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bay Springs, MS. The record was last updated on Oct 2, 2021.