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Jordan Kelsi Mahan, FNP-C
Family Nurse Practitioner in Greenville, Texas
NPI 1215225057

Jordan Kelsi Mahan is a Family Nurse Practitioner based in Greenville, TX and is specialized in Family. Jordan Kelsi Mahan practices in Greenville, TX and has the professional credentials of FNP-C. The NPI Number for Jordan Kelsi Mahan is 1215225057 and holds a License No. 716850 (Texas).

The current practice location address for Jordan Kelsi Mahan is 4101 Wesley St Ste D, Greenville, TX and can be reached out via phone at 903-408-5870 and via fax at 903-408-5879.

Location: 4101 Wesley St Ste D, Greenville, TX, 75401-7856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215225057
Provider Name
Jordan Kelsi Mahan
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
4101 Wesley St Ste D, Greenville, TX, 75401-7856
Phone Number
903-408-5870
Fax Number
903-408-5879
Provider Enumeration Date
07/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
375097802 05 TX
institution
Provider Business Practice Location Address Details
Address
4101 Wesley St Ste D
City
Greenville
State
Texas
Zip
75401
Phone Number
903-408-5870
Fax Number
903-408-5879
person
Provider Business Mailing Address Details
Address
4101 Wesley St Ste D
City
Greenville
State
Texas
Zip
75401
Phone Number
903-408-5870
Fax Number
903-408-5879
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
716850 (Texas)
Definition
Definition to come...
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