Individual provider · Type 1 NPI
Melissa Jordan, RN
Addiction (Substance Use Disorder) Registered Nurse · Shreveport, LA
NPI number
1932616059
Active
Practice location
1543 Grimmett Dr
Shreveport, LA 71107
Fax (318) 626-5691
Mailing address
PO Box 918
Doyline, LA 71023-0918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | RN032030 (LA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1932616059
Melissa Jordan, RN's National Provider Identifier is 1932616059, issued on Jan 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Shreveport, LA. The record was last updated on Jan 10, 2018.