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MS. IVY JUSTINE JORDAN L.P.N.
NPI 1336343318
Licensed Practical Nurse in Canton, OH

Active since June 13, 2007
105 WERTZ AVE NW APT 7, CANTON, OH 44708(330) 452-1539 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ivy Justine Jordan L.p.n. NPPES

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

MS. IVY JUSTINE JORDAN L.P.N. (NPI 1336343318) is an individual licensed practical nurse in Canton, Ohio, licensed in Ohio (PN 106915) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1336343318
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. IVY JUSTINE JORDANCredential: L.P.N.
Location Address105 WERTZ AVE NW APT 7Canton, OH 44708-4100
Mailing Address105 Wertz Ave Nw Apt 7Canton, OH 44708-4100 · (330) 452-1539
Phone(330) 452-1539
Sole ProprietorYes
Enumeration DateJune 13, 2007
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1336343318 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 · PN 106915
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.
105 WERTZ AVE NW APT 7, Canton, OH 44708
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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 Ivy Jordan's NPI number?

The NPI number for Ivy Jordan is 1336343318. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Ivy Jordan located?

Ivy Jordan practices at 105 Wertz Ave NW Apt 7, Canton, OH 44708. The listed phone number is (330) 452-1539.

What is Ivy 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 Ivy Jordan was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.