Ivy Justine Jordan in Canton - Licensed Practical Nurse
Ivy Justine Jordan - NPI 1336343318
Ivy Justine Jordan is a Licensed Practical Nurse in Canton, Ohio. Ivy Justine Jordan practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Ivy Justine Jordan is 1336343318. The last update date is 2011-01-11.
Ivy Justine Jordan's current location address is 105 Wertz Ave Nw Apt 7, Canton, Ohio. You can contact this provider via phone number 3304521539. The mailing address for Ivy Justine Jordan is 105 Wertz Ave Nw Apt 7, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy Justine Jordan |
|---|---|
| Address | 105 Wertz Ave Nw Apt 7, Canton, Ohio |
| Phone Number | 3304521539 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.N. |
NPI Number Detail
| NPI Number | 1336343318 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 105 Wertz Ave Nw Apt 7 |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447084100 |
| Phone Number | 3304521539 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN 106915 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identifier code issued to Ivy Justine Jordan by the Centers for Medicare & Medicaid Services?
The Ivy Justine Jordan has been assigned the NPI (National Provider Identifier) 1336343318. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ivy Justine Jordan?
The Ivy Justine Jordan is situated at 105 Wertz Ave Nw Apt 7, in the city of Canton, state of OH, with the zip code 447084100.
What is Ivy Justine Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ivy Justine Jordan is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
When was the Ivy Justine Jordan's 1336343318 issued?
The Ivy Justine Jordan's 1336343318 was issued on 2007-06-13.
When was the information related to Ivy Justine Jordan most recently updated or refreshed?
The details pertaining to the Ivy Justine Jordan, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-11.