IndividualActive
Ashley Jordan, APRN, CRNA
NPI 1104280502 · Certified Registered Nurse Anesthetist · Charleston, WV
Provider details
- NPI number
- 1104280502
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 89103 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3200 Maccorkle Ave Se
Charleston, WV 25304-1227
Phone: (304) 388-5503
Fax: (304) 388-9852
Approximate (ZIP-level) locationGet directions
Mailing address
3200 Maccorkle Ave Se
Charleston, WV 25304-1227
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2016-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.