Search › Massachusetts › 1041C0700X

Jessica Jordan

NPI 1063140440 · on the registry since 2022

Practice

Address
143 Brick Kiln Rd
Teaticket, MA 02536
Phone
(203) 675-0961

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts