Nina T Jordania in Bonita Springs - Psychiatry

Nina T Jordania - NPI 1164428074

Nina T Jordania is a Psychiatry in Bonita Springs, Florida. Nina T Jordania practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Nina T Jordania is 1164428074. The last update date is 2017-03-20.

Nina T Jordania's current location address is 25111 Pennyroyal Dr, Bonita Springs, Florida. You can contact this provider via phone number 6307408375 and fax number 6307408375. The mailing address for Nina T Jordania is 25111 Pennyroyal Dr, Bonita Springs, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Nina T Jordania
Address 25111 Pennyroyal Dr, Bonita Springs, Florida
Phone Number 6307408375
Fax Number 6307408375
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164428074
Provider Enumeration Date 2005-06-24
Last Updated Date 2017-03-20

Provider Mailing Address Detail

Address 25111 Pennyroyal Dr
City Bonita Springs
State Florida (FL)
Post Code 341347944
Phone Number 6307408375
Fax Number 6307408375

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 36107234
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36107234 IL STATE LICENSE
36107234 IL --
1033149844 IL CDPG NPI
P00924097 MEDICARE RAILROAD (PROVIDER)
222075 IL BLUE CROSS GROUP
CA4748 MEDICARE RAILROAD (GROUP)

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FAQs about Nina T Jordania

What is the Nina T Jordania's unique identification number?

The Nina T Jordania has been assigned the NPI (National Provider Identifier) Number 1164428074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Nina T Jordania is physically located?

The Nina T Jordania is physically situated at the following address: 25111 Pennyroyal Dr, Bonita Springs, FL, 341347944.

What is Nina T Jordania's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nina T Jordania is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

On what date was the 1164428074 assigned to Nina T Jordania?

The Nina T Jordania was issued its 1164428074 on 2005-06-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Nina T Jordania's information last updated?

The Nina T Jordania's information was last updated on 2017-03-20.

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