Search › Indiana › 183500000X
Jordan Holder
NPI 1801408604 · on the registry since 2020
Practice
- Address
- 11109 Parkview Plaza Dr # 1
Fort Wayne, IN 46845 - Phone
- (260) 266-3080
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- IN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-21
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 Indiana