| Doctor Name: | MRS. REBECCA PALMER JORDAN |
| NPI Number: | 1184893356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC/SLP |
| License Number: | SA9157 |
| Business Practice Address: | 410 New Bridge Street Suite 10-a Jacksonville, NC - 28540 |
| Business Phone Number: | 9103472212 |
| Business Fax Number: | 9103476003 |
| Mailing Address: | 410 New Bridge Street Suite 10-a, JACKSONVILLE |
| State: | NC |
| Postal Code: | 28540 |
| Phone Number: | 9103472212 |
| Fax Number: | 9103476003 |
| NPI Enumeration Date: | 02/21/2008 |
| NPI Last Update Date: | 04/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA9157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |