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MR. JORDAN LANE
NPI 1811443997
Student in an Organized Health Care Education/Training Program in North Charleston, SC

Active since August 29, 2016
8747 ALEXANDRIA DR, NORTH CHARLESTON, SC 29420(843) 751-7449 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Jordan Lane NPPES

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

MR. JORDAN LANE (NPI 1811443997) is an individual student in an organized health care education/training program in North Charleston, South Carolina and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1811443997
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JORDAN LANE
Location Address8747 ALEXANDRIA DRNorth Charleston, SC 29420-7815
Mailing Address8747 Alexandria DrNorth Charleston, SC 29420-7815 · (843) 751-7449
Phone(843) 751-7449
Sole ProprietorYes
Enumeration DateAugust 29, 2016
✔ NPI 1811443997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
8747 ALEXANDRIA DR, North Charleston, SC 29420
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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 Jordan Lane's NPI number?

The NPI number for Jordan Lane is 1811443997. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Jordan Lane located?

Jordan Lane practices at 8747 Alexandria Dr, North Charleston, SC 29420. The listed phone number is (843) 751-7449.

What is Jordan Lane's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Lane was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.