Individual provider · Type 1 NPI
Shikara S. Jordan
Gerontology Nurse Practitioner · Augusta, GA
NPI number
1902401896
Active
Practice location
1120 15th St
Augusta, GA 30912-0004
Mailing address
4605 Pinehurst Ct
Hephzibah, GA 30815-4795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 211773 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1902401896
Shikara S. Jordan's National Provider Identifier is 1902401896, issued on Dec 1, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Augusta, GA. The record was last updated on Dec 1, 2020.