Individual provider · Type 1 NPI
Charles Raymond Jordan, FNP
Family Nurse Practitioner · Grenada, MS
NPI number
1306126263
Active
Practice location
1350 Sunset Dr Ste B
Grenada, MS 38901-4079
Mailing address
PO Box 395
North Carrollton, MS 38947-0395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R869908 (MS) |
Family Nurse Practitioner: Definition to come...
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- Alison Campbell, FNP-CFamily Nurse Practitioner Grenada, MS NPI 1205441375
- Ralph T. Cain, FNPFamily Nurse Practitioner Grenada, MS NPI 1245462282
- Jessica Heath Alldread, FNPFamily Nurse Practitioner Grenada, MS NPI 1295281384
- Joseph Andrew Rose, BSN, FNP-BCFamily Nurse Practitioner Grenada, MS NPI 1336901594
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About NPI 1306126263
Charles Raymond Jordan, FNP's National Provider Identifier is 1306126263, issued on Aug 24, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grenada, MS. The record was last updated on Aug 24, 2011.