Most Relevant Information
Provider Data
| NPI Number: | 1003280843 |
| Provider Name: | AMANDA JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 56108 |
Most Important Dates
| Enumeration Date: | 11/17/2015 |
| Last Updated: | 11/17/2015 |
Provider Practice Location
200 ELIZABETH ST
CHARLESTON
WV
253112119
Practice Location Phone/Fax
| Phone: | 3043487770 |
| Fax: |
Provider Mailing Location
501 22ND ST
DUNBAR
WV
250641711
Provider Mailing Phone/Fax
| Phone: | 3047667655 |
| Fax: |