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Heather Jordan
Family Nurse Practitioner in Kilgore, Texas
NPI 1104609965

Heather Jordan is a Family Nurse Practitioner based in De Berry, TX and is specialized in Family. Heather Jordan practices in Kilgore, TX. The NPI Number for Heather Jordan is 1104609965 and holds a License No. 1130883 (Texas).

The current practice location address for Heather Jordan is 1600 S Henderson Blvd, Kilgore, TX and can be reached out via phone at 903-215-3149.

Location: 1600 S Henderson Blvd, Kilgore, TX, 75639-3020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104609965
Provider Name
Heather Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1600 S Henderson Blvd, Kilgore, TX, 75639-3020
Phone Number
903-215-3149
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 S Henderson Blvd
City
Kilgore
State
Texas
Zip
75662-3518
Phone Number
903-215-3149
Fax Number
person
Provider Business Mailing Address Details
Address
1600 S Henderson Blvd
City
Kilgore
State
Texas
Zip
75662-3518
Phone Number
903-215-3149
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1130883 (Texas)
Definition
Definition to come...
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