Most Relevant Information
Provider Data
| NPI Number: | 1003395815 |
| Provider Name: | JADA JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2018 |
| Last Updated: | 08/13/2018 |
Provider Practice Location
1725 OAKHURST AVE
JACKSONVILLE
FL
322083200
Practice Location Phone/Fax
| Phone: | 9047650665 |
| Fax: | 9047640664 |
Provider Mailing Location
1725 OAKHURST AVE
JACKSONVILLE
FL
322083200
Provider Mailing Phone/Fax
| Phone: | 9047650665 |
| Fax: | 9047640665 |