Jordan Mock, PA

NPI 1639811987 · on the registry since 2022

Practice

Address: 3743 Landmark Dr Ste 200
Lafayette, IN 47905
Phone: (765) 448-4511
Fax: (765) 447-8375
Organisation at this address: Infinity Pediatric Dentistry Llc
Indiana Endovascular Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-04-28

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 Indiana