Most Relevant Information
Provider Data
| NPI Number: | 1003064460 |
| Provider Name: | DAVID B JORDAN MHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2008 |
| Last Updated: | 08/28/2008 |
Provider Practice Location
1371 HIGHWAY 278 W
MONTICELLO
AR
716559663
Practice Location Phone/Fax
| Phone: | 8703672143 |
| Fax: | 8703672145 |
Provider Mailing Location
5537 BLEAUX AVE
SPRINGDALE
AR
727620737
Provider Mailing Phone/Fax
| Phone: | 4798725580 |
| Fax: | 4798725581 |