LISA DENISE JORDAN R.N. - NPI 1134421415 - Registered Nurse in Jonesboro, GA

Q: What is Lisa Jordan's NPI number?

The NPI number for Lisa Jordan is 1134421415. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Q: What is Lisa Jordan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jordan was last updated on November 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Denise Jordan R.n. NPPES

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

LISA DENISE JORDAN R.N. (NPI 1134421415) is an individual psychiatric/mental health, child & adolescent provider in Jonesboro, Georgia, licensed in Georgia (RN211483) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1134421415

Entity TypeIndividualFemale

Primary Taxonomy163WP0807X

Provider Legal NameLISA DENISE JORDANCredential: R.N.

Location Address853 BATTLECREEK RDJonesboro, GA 30236-1919

Mailing Address2733 Cedar Tree LnEllenwood, GA 30294-3983 · (678) 422-8780

Phone(770) 478-1099

Sole ProprietorNo

Enumeration DateNovember 19, 2010

✔ NPI 1134421415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers

Taxonomy Code163WP0807X

License✔ Licensed in GA · RN211483

853 BATTLECREEK RD, Jonesboro, GA 30236

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Other Providers at the Same Location NPPES 20

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

ARZINYA SMITH

Registered Nurse