Jessica Jordan in Eagan - Speech-language Pathologist
Jessica Jordan - NPI 1568502540
Jessica Jordan is a Speech-language Pathologist in Eagan, Minnesota. Jessica Jordan practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jessica Jordan is 1568502540. The last update date is 2015-11-30.
Jessica Jordan's current location address is 4058 Deerwood Trl, Eagan, Minnesota. You can contact this provider via phone number 6519949644 and fax number 6519948962. The mailing address for Jessica Jordan is 4058 Deerwood Trl, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Jordan |
|---|---|
| Address | 4058 Deerwood Trl, Eagan, Minnesota |
| Phone Number | 6519949644 |
| Fax Number | 6519948962 |
| Sole Proprietor | N |
| Credentials | MACCCSLP |
NPI Number Detail
| NPI Number | 1568502540 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2015-11-30 |
Provider Mailing Address Detail
| Address | 4058 Deerwood Trl |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551221889 |
| Phone Number | 6519949644 |
| Fax Number | 6519948962 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7629 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 965S3TR | MN | BCBS | |
| 275401100 | MN | -- | |
| 4600794 | MN | MEDICA | |
| HP41148 | MN | HEALTH PARTNERS |
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What is the unique 10-digit identifier code issued to Jessica Jordan by the Centers for Medicare & Medicaid Services?
The Jessica Jordan has been assigned the NPI (National Provider Identifier) 1568502540 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jessica Jordan located?
The Jessica Jordan is located at 4058 Deerwood Trl, Eagan, MN 551221889.
What is the Jessica Jordan's specialty and taxonomy code?
The Jessica Jordan's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
When was the Jessica Jordan's 1568502540 issued?
The Jessica Jordan's 1568502540 was issued on 2007-02-07.
As of what date were the Jessica Jordan's details last updated?
The information pertaining to the Jessica Jordan, including its address, specialty, and other details, was most recently updated on 2015-11-30.