Most Relevant Information
Provider Data
| NPI Number: | 1003808528 |
| Provider Name: | JENNIFER ANN JORDAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | J9721 |
Most Important Dates
| Enumeration Date: | 08/19/2005 |
| Last Updated: | 02/26/2014 |
Provider Practice Location
1130 BEACHVIEW ST
SUITE 240
DALLAS
TX
752183700
Practice Location Phone/Fax
| Phone: | 2143240418 |
| Fax: | 2143240693 |
Provider Mailing Location
1130 BEACHVIEW ST
SUITE 240
DALLAS
TX
752183700
Provider Mailing Phone/Fax
| Phone: | 2143240418 |
| Fax: | 2143240693 |