| Doctor Name: | MRS. SARAH ELIZABETH JORDAN |
| NPI Number: | 1396946810 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 19724 |
| Business Practice Address: | 400 Old Main Dr Summersville, WV - 266511360 |
| Business Phone Number: | 3048723611 |
| Business Fax Number: | 3048724626 |
| Mailing Address: | 400 Old Main Dr, SUMMERSVILLE |
| State: | WV |
| Postal Code: | 266511360 |
| Phone Number: | 3048723611 |
| Fax Number: | 3048724626 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 19724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |