JERRY WALLACE JORDAN JR.
NPI 1346414851
Community Health Worker in Stockton, CA
About Jerry Wallace Jordan Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY WALLACE JORDAN JR. (NPI 1346414851) is an individual community health worker in Stockton, California and active in the NPI registry since April 2008.
NPPES Registry Identity
Specialties & Licenses
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.
STOCKTON, CA 95202
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 Jerry Jordan's NPI number?
The NPI number for Jerry Jordan is 1346414851. It was assigned to this individual provider in the NPPES registry on April 15, 2008.
Where is Jerry Jordan located?
Jerry Jordan practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8831.
What is Jerry Jordan's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Jerry Jordan was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.