person
Alta Jordan, AGACNP
Acute Care Nurse Practitioner in Columbia, South Carolina
NPI 1457702144

Alta Jordan is an Acute Care Nurse Practitioner based in Atlanta, SC and is specialized in Acute Care. Alta Jordan practices in Columbia, SC and has the professional credentials of AGACNP. The NPI Number for Alta Jordan is 1457702144 and holds a License No. 20190 (South Carolina).

The current practice location address for Alta Jordan is 1655 Bernardin Ave Ste 220, Columbia, SC and can be reached out via phone at 803-409-7170 and via fax at 803-409-7175.

Location: 1655 Bernardin Ave Ste 220, Columbia, SC, 31193-5722
person
Provider Profile Details
NPI Number
1457702144
Provider Name
Alta Jordan
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
1655 Bernardin Ave Ste 220, Columbia, SC, 31193-5722
Phone Number
803-409-7170
Fax Number
803-409-7175
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4091 05 SC
institution
Provider Business Practice Location Address Details
Address
1655 Bernardin Ave Ste 220
City
State
Zip
29204-2044
Phone Number
803-409-7170
Fax Number
803-409-7175
person
Provider Business Mailing Address Details
Address
1655 Bernardin Ave Ste 220
City
State
Zip
29204-2044
Phone Number
803-409-7170
Fax Number
803-409-7175
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
20190 (South Carolina)
Definition
Definition to come...
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