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LISA JORDAN
NPI 1265909055
Prevention Professional in Stockton, CA

Active since October 30, 2018
430 N PILGRIM ST, STOCKTON, CA 95205(209) 466-0853 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Jordan NPPES

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

LISA JORDAN (NPI 1265909055) is an individual prevention professional provider in Stockton, California, licensed in California (0) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1265909055
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameLISA JORDAN
Location Address430 N PILGRIM STStockton, CA 95205-4428
Mailing Address430 N Pilgrim StStockton, CA 95205-4428 · (209) 466-0853
Phone(209) 466-0853
Sole ProprietorNo
Enumeration DateOctober 30, 2018
✔ NPI 1265909055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in CA · 0
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
430 N PILGRIM ST, Stockton, CA 95205
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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.

MARIAH EVA MARIE MARTINEZ
Counselor (Mental Health)
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
NOLENA MARIE SELLEK
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 395-3077
MARY-JANE LANSANA
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
BREANNA VAN PERNIS
Community Health Worker
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
DORIS ALIN CHAVEZ UGALDE
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
NICOLE RANE COWAN
Marriage & Family Therapist
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
MARC ANAYA
Counselor (Professional)
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
STEPHANIE LOPEZ
Marriage & Family Therapist
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853

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 Lisa Jordan's NPI number?

The NPI number for Lisa Jordan is 1265909055. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Lisa Jordan located?

Lisa Jordan practices at 430 N Pilgrim St, Stockton, CA 95205. The listed phone number is (209) 466-0853.

What is Lisa Jordan's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Lisa Jordan was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.