Tina R Jordan is a Mental Health in Jonesboro, Arkansas. Tina R Jordan practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tina R Jordan is 1194918912. The last update date is 2007-08-24.
Tina R Jordan's current location address is 2707 Browns Ln, Jonesboro, Arkansas. You can contact this provider via phone number 8709724939 and fax number 8709724911. The mailing address for Tina R Jordan is 2707 Browns Ln, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina R Jordan |
|---|---|
| Address | 2707 Browns Ln, Jonesboro, Arkansas |
| Phone Number | 8709724939 |
| Fax Number | 8709724911 |
| Sole Proprietor | Y |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1194918912 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 2707 Browns Ln |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724017213 |
| Phone Number | 8709724939 |
| Fax Number | 8709724911 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | A0705040 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Tina R Jordan by the Centers for Medicare & Medicaid Services?
The Tina R Jordan has been issued the NPI (National Provider Identifier) 1194918912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tina R Jordan is geographically located?
The Tina R Jordan is physically situated at the following location: 2707 Browns Ln, Jonesboro, AR, 724017213.
What is the Tina R Jordan's area of specialization and corresponding taxonomy classification?
The Tina R Jordan's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Tina R Jordan receive the assignment of its 1194918912 from the Centers for Medicare & Medicaid Services?
The Tina R Jordan was issued its 1194918912 by the Centers for Medicare & Medicaid Services on 2007-08-24.
As of what date were the details related to Tina R Jordan most recently updated or revised?
The information pertaining to Tina R Jordan, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-24.