JORDAN MATTHEW ANDERSON LPN
NPI 1063147932
Licensed Practical Nurse in Liberty Twp, OH

Active since July 23, 2022
348 TANBARK DR, LIBERTY TWP, OH 45011(513) 410-4479 Get Directions Write a Review

NPPES record last updated: July 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Matthew Anderson Lpn NPPES

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

JORDAN MATTHEW ANDERSON LPN (NPI 1063147932) is an individual licensed practical nurse in Liberty Twp, Ohio, licensed in Ohio (158897) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1063147932
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJORDAN MATTHEW ANDERSONCredential: LPN
Location Address348 TANBARK DRLiberty Twp, OH 45011-2660
Mailing Address348 Tanbark DrLiberty Twp, OH 45011-2660 · (513) 410-4479
Sole ProprietorYes
Enumeration DateJuly 23, 2022
NPPES CertifiedJuly 20, 2022
NPI 1063147932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · 158897
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
348 TANBARK DR, Liberty Twp, OH 45011

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 Jordan Anderson's NPI number?

The NPI number for Jordan Anderson is 1063147932. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Where is Jordan Anderson located?

Jordan Anderson practices at 348 Tanbark Dr, Liberty Twp, OH 45011. The listed phone number is (513) 410-4479.

What is Jordan Anderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jordan Anderson was last updated on July 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.