THERESA JORDAN
NPI 1063100543
Technician - Attendant Care Provider in Pensacola, FL

Active since April 24, 2023
1236 BENNING PL, PENSACOLA, FL 32506(813) 693-9099 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA JORDAN (NPI 1063100543) is an individual attendant care provider provider in Pensacola, Florida and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1063100543
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameTHERESA JORDAN
Location Address1236 BENNING PLPensacola, FL 32506-1205
Mailing Address13 Alan AdalePensacola, FL 32506-4136
Sole ProprietorYes
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1063100543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1236 BENNING PL, Pensacola, FL 32506

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician (Attendant Care Provider)
1236 BENNING PL
PENSACOLA, FL 32506
Technician (Attendant Care Provider)
1236 BENNING PL
PENSACOLA, FL 32506
Technician (Attendant Care Provider)
1236 BENNING PL
PENSACOLA, FL 32506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Jordan's NPI number?

The NPI number for Theresa Jordan is 1063100543. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Theresa Jordan located?

Theresa Jordan practices at 1236 Benning Pl, Pensacola, FL 32506. The listed phone number is (813) 693-9099.

What is Theresa Jordan's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Theresa Jordan was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.