TRACY JORDAN

SISTERS MEDICAL CLINIC LLC

Dr TRACY JORDAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.

Contact

SISTERS MEDICAL CLINIC LLC

1205 HWY 15
BASKIN
LA
712199698

Tel: 3182482249

TRACY JORDAN Information

Npi 1487926671
Pac Id 3779742341
Professional Enrollment Id I20120319000088
Last Name JORDAN
First Name TRACY
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SISTERS MEDICAL CLINIC LLC
Group Practice Pac Id 2961771407
Number Of Group Practice Members 3
Line 1 Street Address 1205 HWY 15
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BASKIN
State LA
Zip Code 712199698
Phone Number 3182482249
Hospital Affiliation Ccn 1 190140
Hospital Affiliation Lbn 1 FRANKLIN MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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

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