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ANTIONETTE JORDAN
NPI 1902663982
Technician, Other in Saint Louis, MO

Active since March 05, 2024
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 747-7491 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2026, Mar 5, 2024 (2 updates tracked since 2024).

About Antionette Jordan NPPES

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

ANTIONETTE JORDAN (NPI 1902663982) is an individual technician, other provider in Saint Louis, Missouri and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1902663982
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameANTIONETTE JORDAN
Location Address3309 S KINGSHIGHWAY BLVDSaint Louis, MO 63139-1101
Mailing Address3309 S Kingshighway BlvdSaint Louis, MO 63139-1101 · (314) 747-7491
Phone(314) 747-7491
Sole ProprietorNo
Enumeration DateMarch 5, 2024
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1902663982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
3309 S KINGSHIGHWAY BLVD, Saint Louis, MO 63139
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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.

MRS. JEANNA RUFET KNIGHT LPC
Counselor (Professional)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
CARMEN MARIE MAURO
Case Manager/Care Coordinator
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
SUMMER JOHNSON
Technician (Personal Care Attendant)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
MS. DAWN ELIZABETH SWINGER L.P.C.
Counselor (Professional)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 534-9350
CASSIDY SPROCK
Social Worker
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
BJC BEHAVIORAL HEALTH
Pharmacy (Clinic Pharmacy)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3738
SHYRHA DEDEE DAVIS
Social Worker (Clinical)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
ASHTYN WILLIAMS
Social Worker (Clinical)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700

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 Antionette Jordan's NPI number?

The NPI number for Antionette Jordan is 1902663982. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Where is Antionette Jordan located?

Antionette Jordan practices at 3309 S Kingshighway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 747-7491.

What is Antionette Jordan's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Antionette Jordan was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.