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ANTOINE JORDAN
NPI 1962850305
Specialist in Irmo, SC

Active since May 26, 2016

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antoine Jordan NPPES

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

ANTOINE JORDAN (NPI 1962850305) is an individual specialist in Irmo, South Carolina and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1962850305
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameANTOINE JORDAN
Location Address757 SAXONY DRIrmo, SC 29063-7108
Mailing Address757 Saxony DriveIrmo, SC 29063 · (803) 445-3396
Phone(803) 445-3396
Sole ProprietorYes
Enumeration DateMay 26, 2016
✔ NPI 1962850305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
757 SAXONY DR, Irmo, SC 29063
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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 Antoine Jordan's NPI number?

The NPI number for Antoine Jordan is 1962850305. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Antoine Jordan located?

Antoine Jordan practices at 757 Saxony Dr, Irmo, SC 29063. The listed phone number is (803) 445-3396.

What is Antoine Jordan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Antoine Jordan was last updated on May 26, 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.