Miranda Jordan's National Provider Identifier (NPI) Details
Miranda Jordan, MS
NPI: 1518480219
Enumeration Date: 2017-07-25
Last updated: 2018-03-17
Sole Proprietor: NO
Status: active
Postal Address: 1316 SOMERVILLE RD SE STE 1, DECATUR, AL
Phone: 256-260-7361
Primary Practice Address: 295 HOSPITAL ST, MOULTON, AL
Practice's phone: 256-974-6697