JORDYN RENEE CARROLL
NPI 1679223929
Technician/Technologist in Dearborn, MI
Active since March 28, 2022
19853 OUTER DR STE 110, DEARBORN, MI 48124(313) 406-5056(248) 712-4381 Get Directions Write a Review
About Jordyn Renee Carroll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDYN RENEE CARROLL (NPI 1679223929) is an individual technician/technologist in Dearborn, Michigan and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1679223929
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameJORDYN RENEE CARROLL
Location Address19853 OUTER DR STE 110Dearborn, MI 48124-2044
Mailing Address19853 Outer Dr Ste 110Dearborn, MI 48124-2044 · (313) 406-5056 · Fax (248) 712-4381
Phone(313) 406-5056
Fax(248) 712-4381
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1679223929 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
19853 OUTER DR STE 110, Dearborn, MI 48124
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.
Student in an Organized Health Care Education/Training Program
19853 OUTER DR STE 110
DEARBORN, MI 48124
DEARBORN, MI 48124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679223929, enumerated as an "individual" on March 28, 2022.
The provider is located at 19853 OUTER DR STE 110 DEARBORN, MI 48124 and the phone number is (313) 406-5056.
Technician/Technologist with taxonomy code 156F00000X.
