JORDAN B RICHARDSON

ETMC PHYSICIAN GROUP, INC.

Dr JORDAN B RICHARDSON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017.

Contact

ETMC PHYSICIAN GROUP, INC.

700 OLYMPIC PLAZA CIR
SUITE 420
TYLER
TX
757011952

Tel: 9035318950

JORDAN B RICHARDSON Information

Npi 1043707748
Pac Id 3476818659
Professional Enrollment Id I20180518000892
Last Name RICHARDSON
First Name JORDAN
Middle Name B
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ETMC PHYSICIAN GROUP, INC.
Group Practice Pac Id 4486915600
Number Of Group Practice Members 183
Line 1 Street Address 700 OLYMPIC PLAZA CIR
Line 2 Street Address SUITE 420
Marker Of Address Line 2 Suppression
City TYLER
State TX
Zip Code 757011952
Phone Number 9035318950
Hospital Affiliation Ccn 1 450083
Hospital Affiliation Lbn 1 EAST TEXAS MEDICAL CENTER
Hospital Affiliation Ccn 2 450210
Hospital Affiliation Lbn 2 EAST TEXAS MEDICAL CENTER - CARTHAGE
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know JORDAN B RICHARDSON?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.