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NPI Code Detail

MEDICARE: MELISSA B JORDAN A.P., DAHM, DIPL OM

MEDICARE: MELISSA B JORDAN A.P., DAHM, DIPL OM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAP2051FL

General Provider Information

NPI Number : 1851529143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA B JORDAN A.P., DAHM, DIPL OM
Provider Business Mailing Address
First Line : 8855 SAN JOSE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4244
Country : US
Telephone Number : 904-260-2598
Fax Number : 904-260-2599
Provider Business Practice Location Address
First Line : 8855 SAN JOSE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4244
Country : US
Telephone Number : 904-260-2598
Fax Number : 904-260-2599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 09/10/2024

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Directions to “ MELISSA B JORDAN A.P., DAHM, DIPL OM” Practice Location

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