Individual provider · Type 1 NPI

Roeshelle Jordan

Driver · College Station, TX

NPI number 1972041101 Active

Practice location

13981 Renee Ln
College Station, TX 77845-8119

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X06048240 (TX)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1972041101

Roeshelle Jordan's National Provider Identifier is 1972041101, issued on Feb 8, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in College Station, TX. The record was last updated on Feb 8, 2017.