Provider Demographics
NPI:1356109615
Name:JORDAN, BRITTNEY M (CD-L, PMH-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:M
Last Name:JORDAN
Suffix:
Gender:F
Credentials:CD-L, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 RAILWAY AVE
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-6810
Mailing Address - Country:US
Mailing Address - Phone:229-571-6997
Mailing Address - Fax:
Practice Address - Street 1:169 RAILWAY AVE
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6810
Practice Address - Country:US
Practice Address - Phone:229-571-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty