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Jordan Jacques
NPI 1356194906 · on the registry since 2024
Practice
- Address
- 4433 Jackson St Bldg 2
Marianna, FL 32448 - Phone
- (850) 482-5151
- Organisation at this address
- Mefl, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-11
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 Florida