Brenda Mae Jordan is a Specialist in Tacoma, Washington. Brenda Mae Jordan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Brenda Mae Jordan is 1235339136. The last update date is 2007-07-19.
Brenda Mae Jordan's current location address is 6619 S Lawrence St, Tacoma, Washington. You can contact this provider via phone number 2536781861. The mailing address for Brenda Mae Jordan is 6619 S Lawrence St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Mae Jordan |
|---|---|
| Address | 6619 S Lawrence St, Tacoma, Washington |
| Phone Number | 2536781861 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1235339136 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 6619 S Lawrence St |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984094012 |
| Phone Number | 2536781861 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00020952 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA00020952 | WA | LMP |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda Mae Jordan by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda Mae Jordan has been assigned the NPI (National Provider Identifier) 1235339136. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brenda Mae Jordan?
The Brenda Mae Jordan is situated at 6619 S Lawrence St, in the city of Tacoma, state of WA, with the zip code 984094012.
What is Brenda Mae Jordan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda Mae Jordan's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Brenda Mae Jordan receive the assignment of its 1235339136 from the Centers for Medicare & Medicaid Services?
The Brenda Mae Jordan was issued its 1235339136 by the Centers for Medicare & Medicaid Services on 2007-07-19.
As of what date were the details pertaining to Brenda Mae Jordan last refreshed?
The information related to the Brenda Mae Jordan, including its address, specialty, and other relevant details, was last updated on 2007-07-19.