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Avery Jordan, LPTA/LPN
NPI 1639362809 · on the registry since 2007
Practice
- Address
- 1201 E Broad Rock Rd
Rm 1s-112
Richmond, VA 23249 - Phone
- (804) 675-5000
- Fax
- (804) 675-5335
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 164W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-21
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 Virginia