Individual provider · Type 1 NPI

Deborah Michelle Jordan

Private Vehicle · Gretna, VA

NPI number 1205337359 Active

Practice location

2533 Cotton Patch Rd
Gretna, VA 24557-2496

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XT60209323 (VA)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1205337359

Deborah Michelle Jordan's National Provider Identifier is 1205337359, issued on Feb 23, 2018. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Gretna, VA. The record was last updated on Feb 23, 2018.