Individual provider · Type 1 NPI

Alta Jordan, AGACNP

Acute Care Nurse Practitioner · Columbia, SC

NPI number 1457702144 Active

Practice location

1655 Bernardin Ave Ste 220
Columbia, SC 29204-2044

Fax (803) 409-7175

Mailing address

PO Box 935722
Atlanta, GA 31193-5722

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X20190 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1457702144

Alta Jordan, AGACNP's National Provider Identifier is 1457702144, issued on Jun 24, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Columbia, SC. The record was last updated on Aug 25, 2021.