Antionette Jordan
Antionette Jordan is an Other Technician in Saint Louis, Missouri. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3309 S Kingshighway BlvdSaint Louis, MO 63139-1101
Phone: (314) 747-7491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1902663982 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 5, 2024 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
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