Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 2016030234 | MO |
N | 207RH0002X | Hospice and Palliative Medicine | MD447859 | PA |
NPI | 1215198601 |
---|---|
Provider Name | Allison Elizabeth Jordan |
First Address | Saint Louis, MO 63136-6163 |
Second Address | Saint Louis, MO 63136-6163 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 12/03/2021 |