Individual provider · Type 1 NPI
Lenise Marlena Jordan, NP-C
Family Nurse Practitioner · South Fulton, GA
NPI number
1639595309
Active
Practice location
6085 Old National Hwy Ste G
South Fulton, GA 30349-4333
Fax (855) 583-3678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN162420 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1639595309
Lenise Marlena Jordan, NP-C's National Provider Identifier is 1639595309, issued on Mar 5, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Fulton, GA. The record was last updated on May 3, 2024.