JAJUAN MONDREESE FORDHAM
NPI 1376396564
Non-emergency Medical Transport (VAN) in Jacksonville, FL

Q: What is Jajuan Fordham's NPI number?

The NPI number for Jajuan Fordham is 1376396564. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Jajuan Fordham's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

Q: When was this NPI record last updated?

The NPPES record for Jajuan Fordham was last updated on April 8, 2024. 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.

Active since April 08, 2024

5805 RENAULT DR W, JACKSONVILLE, FL 32244(904) 962-1491 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jajuan Mondreese Fordham NPPES

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

JAJUAN MONDREESE FORDHAM (NPI 1376396564) is an individual non-emergency medical transport (van) provider in Jacksonville, Florida, licensed in Florida (F635433781060) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1376396564

Entity TypeIndividualMale

Primary Taxonomy343900000X

Provider Legal NameJAJUAN MONDREESE FORDHAM

Location Address5805 RENAULT DR WJacksonville, FL 32244-1390

Mailing Address5805 Renault Dr WJacksonville, FL 32244-1390 · (904) 962-1491

Phone(904) 962-1491

Sole ProprietorYes

Enumeration DateApril 8, 2024

NPPES CertifiedApril 8, 2024

✔ NPI 1376396564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services

Taxonomy Code343900000X

License✔ Licensed in FL · F635433781060

Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

5805 RENAULT DR W, Jacksonville, FL 32244

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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 Jajuan Fordham's NPI number?

The NPI number for Jajuan Fordham is 1376396564. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Jajuan Fordham located?

Jajuan Fordham practices at 5805 Renault Dr W, Jacksonville, FL 32244. The listed phone number is (904) 962-1491.

What is Jajuan Fordham's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Jajuan Fordham was last updated on April 8, 2024. 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.