DAVID B JORDAN — Medicare Enrolled Provider (PRACTITIONER - MENTAL HEALTH COUNSELOR, AR)
DAVID B JORDAN — Medicare Enrolled Provider (PRACTITIONER - MENTAL HEALTH COUNSELOR, AR) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DAVID B JORDAN; Type: Individual; NPI: 1003064460.
| Name | DAVID B JORDAN |
|---|---|
| Type | Individual |
| NPI | 1003064460 |
| Provider type | PRACTITIONER - MENTAL HEALTH COUNSELOR |
| State | AR |
| Enrollment ID | I20250709000455 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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