Mr. Avery Miles Jordan, LPTA/LPN
Mr. Avery Miles Jordan, LPTA/LPN is a Licensed Practical Nurse in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1201 E Broad Rock Rd Rm 1S-112Richmond, VA 23249-0001
Phone: (804) 675-5000
Fax: (804) 675-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2306001152 (VA) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence 0002040749 (VA) |
Record details
| NPI number | 1639362809 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPTA/LPN |
| Sole proprietor | No |
| NPI enumerated | August 21, 2007 |
| Last updated in NPPES | August 21, 2007 |
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