Individual provider · Type 1 NPI
Tawan Jordan
Driver · Slidell, LA
NPI number
1245718550
Active
Practice location
750 E I 10 Service Rd Ste G
Slidell, LA 70461-5535
Fax (504) 326-6513
Mailing address
1008 Mccartney Ct
Slidell, LA 70461-4844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
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About NPI 1245718550
Tawan Jordan's National Provider Identifier is 1245718550, issued on Jul 30, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Slidell, LA. The record was last updated on Jul 30, 2018.