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TYNETTE JORDAN
NPI 1124439351
Counselor in Lake City, FL

Active since May 09, 2014
708 N.W WILSON ST., LAKE CITY, FL 32055(407) 680-8483 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tynette Jordan NPPES

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

TYNETTE JORDAN (NPI 1124439351) is an individual counselor in Lake City, Florida and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1124439351
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTYNETTE JORDAN
Location Address708 N.W WILSON ST.Lake City, FL 32055
Mailing Address708 Nw Wilson StLake City, FL 32055-1808 · (407) 680-8483
Phone(407) 680-8483
Sole ProprietorNo
Enumeration DateMay 9, 2014
✔ NPI 1124439351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
708 N.W WILSON ST., Lake City, FL 32055
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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 Tynette Jordan's NPI number?

The NPI number for Tynette Jordan is 1124439351. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Tynette Jordan located?

Tynette Jordan practices at 708 N.W Wilson St., Lake City, FL 32055. The listed phone number is (407) 680-8483.

What is Tynette Jordan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tynette Jordan was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.