Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STAR JORDAN
NPI 1124948484
Licensed Practical Nurse in Warren, MI

Q: What is Star Jordan's NPI number?

The NPI number for Star Jordan is 1124948484. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Q: What is Star Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Star Jordan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since July 17, 2026

11587 HELEN DR, WARREN, MI 48093(248) 472-6222 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Star Jordan NPPES

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

STAR JORDAN (NPI 1124948484) is an individual licensed practical nurse in Warren, Michigan, licensed in Michigan (4703131646) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1124948484

Entity TypeIndividual

Primary Taxonomy164W00000X

Provider Legal NameSTAR JORDAN

Location Address11587 HELEN DRWarren, MI 48093-7602

Mailing Address11587 Helen DrWarren, MI 48093-7602

Phone(248) 472-6222

Sole ProprietorNo

Enumeration DateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1124948484 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 MI · 4703131646

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.

11587 HELEN DR, Warren, MI 48093

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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 Star Jordan's NPI number?

The NPI number for Star Jordan is 1124948484. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Star Jordan located?

Star Jordan practices at 11587 Helen Dr, Warren, MI 48093. The listed phone number is (248) 472-6222.

What is Star Jordan'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 Star Jordan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.