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Autumn Jordan, MD
Student in an Organized Health Care Education/Training Program in Blacksburg, Virginia
NPI 1255997748

Autumn Jordan is a Student in an Organized Health Care Education/Training Program based in Terra Ceia, VA. Autumn Jordan practices in Blacksburg, VA and has the professional credentials of MD. The NPI Number for Autumn Jordan is 1255997748 and holds a License No. (Virginia).

The current practice location address for Autumn Jordan is 3700 S Main St, Blacksburg, VA and can be reached out via phone at 540-953-3528.

Location: 3700 S Main St, Blacksburg, VA, 34250-0287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255997748
Provider Name
Autumn Jordan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3700 S Main St, Blacksburg, VA, 34250-0287
Phone Number
540-953-3528
Fax Number
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3700 S Main St
City
Blacksburg
State
Virginia
Zip
24060-7017
Phone Number
540-953-3528
Fax Number
person
Provider Business Mailing Address Details
Address
3700 S Main St
City
Blacksburg
State
Virginia
Zip
24060-7017
Phone Number
540-953-3528
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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