MS. BRENDA MAE JORDAN LMP NPI 1235339136

NPI Information

MS. Brenda Mae Jordan, LMP is a specialist in Tacoma, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Brenda Mae Jordan, LMP NPI is 1235339136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6619 S LAWRENCE ST
TACOMA, WA
ZIP 98409-012
Phone: (253) 678-1861

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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