Crystal D Jordan in Tallahassee - Emergency
Crystal D Jordan - NPI 1750575064
Crystal D Jordan is a Emergency in Tallahassee, Florida. Crystal D Jordan practices all healthcare services and medical treatments related to Emergency. The NPI Number for Crystal D Jordan is 1750575064. The last update date is 2023-11-07.
Crystal D Jordan's current location address is 1114 Thomasville Road Suite E-1, Tallahassee, Florida. You can contact this provider via phone number 8507715765 and fax number 8507794744. The mailing address for Crystal D Jordan is 1114 Thomasville Road Suite E-1, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal D Jordan |
|---|---|
| Address | 1114 Thomasville Road Suite E-1, Tallahassee, Florida |
| Phone Number | 8507715765 |
| Fax Number | 8507794744 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1750575064 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2023-11-07 |
Provider Mailing Address Detail
| Address | 1114 Thomasville Road Suite E-1 |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 32303 |
| Phone Number | 8507715765 |
| Fax Number | 8507794744 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency |
|---|---|
| Taxonomy | 163We0003X |
| Licence No | 3017962 |
|
Definition: A registered nurse who cares for patients in emergency departments. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308624100 | FL | -- | |
| 99388 | FL | MEDICARE PART B (GROUP ASSOCIA |
Post Comment/ Review Below
What is the Crystal D Jordan's 1750575064?
The Crystal D Jordan's NPI (National Provider Identifier) Number is 1750575064. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Crystal D Jordan's physical address?
The Crystal D Jordan is physically located at 1114 Thomasville Road Suite E-1, in the city of Tallahassee, FL, with the postal code 32303.
What is Crystal D Jordan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal D Jordan is Emergency, and the corresponding taxonomy classification code for this specialized field is 163We0003X.
On what date did the Crystal D Jordan receive its 1750575064 assignment from the Centers for Medicare & Medicaid Services?
The Crystal D Jordan was assigned its 1750575064 by the Centers for Medicare & Medicaid Services on 2007-08-29.
When was the information pertaining to Crystal D Jordan most recently updated or revised?
The details related to Crystal D Jordan, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-07.