| Michele Jordan Md Pc | |
|
145 N Chalkville Rd Trussville AL 35173-1330 | |
| (205) 661-3737 | |
| Not Available |
| Full Name | Michele Jordan Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 145 N Chalkville Rd, Trussville, Alabama |
| Authorized Official Name and Position | Michele Jordan (PHYSICIAN) |
| Authorized Official Contact | 2056613737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Jordan Md Pc 145 N Chalkville Rd Trussville AL 35173-1330 Ph: (205) 661-3737 | Michele Jordan Md Pc 145 N Chalkville Rd Trussville AL 35173-1330 Ph: (205) 661-3737 |
| NPI Number | 1710998901 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 09/03/2009 |
| Medicare PECOS PAC ID | 5698687218 |
|---|---|
| Medicare Enrollment ID | O20031103000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710998901 | NPI | - | NPPES |
| 529916720 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 208D00000X (Alabama) | Primary |
| Provider Name | Michele Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982651436 PECOS PAC ID: 0749192342 Enrollment ID: I20031103000327 |
| Provider Name | Jessica Croft Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720640808 PECOS PAC ID: 5890127617 Enrollment ID: I20191118000747 |
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