SearchLouisiana101YP2500X

Jordan Perry

NPI 1235863556 · on the registry since 2022 · sole proprietor

Practice

Address
318 W Louisiana Ave Lot 8
Ruston, LA 71270
Phone
(318) 840-9287

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
171M00000X
251S00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-13

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 Louisiana