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MS. KEYANA TANIE JORDAN
NPI 1902457682
Counselor - Mental Health in Jamestown, NC

Active since September 24, 2019
4508 CROWNE LAKE CIR APT 1D, JAMESTOWN, NC 27282(252) 314-7403 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2019, Sep 24, 2019 (2 updates tracked since 2019).

About Ms. Keyana Tanie Jordan NPPES

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

MS. KEYANA TANIE JORDAN (NPI 1902457682) is an individual mental health provider in Jamestown, North Carolina, licensed in North Carolina (A15383) and active in the NPI registry since September 2019. She maintains a secondary practice location in Jamestown.

NPPES Registry Identity

NPI1902457682
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KEYANA TANIE JORDAN
Location Address4508 CROWNE LAKE CIR APT 1DJamestown, NC 27282-7921
Mailing Address4508 Crowne Lake Cir Apt 1dJamestown, NC 27282-7921 · (252) 314-7403
Phone(252) 314-7403
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
Last NPPES UpdateNovember 23, 20192 updates tracked since enumeration
✔ NPI 1902457682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A15383
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-25905 (NC)
4508 CROWNE LAKE CIR APT 1D, Jamestown, NC 27282
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Secondary Practice Location 1

Location 14508 Crowne Lake Cir Apt 1DJamestown, NC 27282-7921 · Phone (252) 314-7403

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 Keyana Jordan's NPI number?

The NPI number for Keyana Jordan is 1902457682. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Keyana Jordan located?

Keyana Jordan practices at 4508 Crowne Lake Cir Apt 1D, Jamestown, NC 27282. The listed phone number is (252) 314-7403.

What is Keyana Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Keyana Jordan was last updated on November 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.