Most Relevant Information
Provider Data
| NPI Number: | 1003452723 |
| Provider Name: | CHARONDA KAYE JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 376G00000X |
| Specialty: | Nursing Home Administrator |
| License Number: | 37P026710818 |
Most Important Dates
| Enumeration Date: | 11/18/2019 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
3803 S 79TH EAST AVE # 100
TULSA
OK
741453218
Practice Location Phone/Fax
| Phone: | 9186305746 |
| Fax: |
Provider Mailing Location
3803 S 79TH EAST AVE # 100
TULSA
OK
741453218
Provider Mailing Phone/Fax
| Phone: | 9186305746 |
| Fax: |