Tammara Ann Jordan in Hattiesburg - Speech-language Pathologist
Tammara Ann Jordan - NPI 1104979731
Tammara Ann Jordan is a Speech-language Pathologist in Hattiesburg, Mississippi. Tammara Ann Jordan practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tammara Ann Jordan is 1104979731. The last update date is 2020-08-24.
Tammara Ann Jordan's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015793310 and fax number 6015795240. The mailing address for Tammara Ann Jordan is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammara Ann Jordan |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015793310 |
| Fax Number | 6015795240 |
| Sole Proprietor | Y |
| Credentials | M.S.,CCC-S |
NPI Number Detail
| NPI Number | 1104979731 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-24 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015793310 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | S2203 |
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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 |
|---|---|---|---|
| 7346349 | MS | AETNA | |
| 800517 | MS | CIGNA | |
| 1772892 | MS | -- | |
| 731632210 | MS | MS CHIP | |
| 6061226 | MS | HEALTHSPRINGS | |
| 3504919 | MS | UNITED HEALTHCARE | |
| 731632210 | MS | UNITED HEALTH CARE | |
| 7345349 | MS | AETNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tammara Ann Jordan?
The Tammara Ann Jordan has been issued the NPI (National Provider Identifier) 1104979731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Tammara Ann Jordan is physically located?
The Tammara Ann Jordan is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS 394017246.
What is Tammara Ann Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tammara Ann Jordan's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date was the 1104979731 assigned to Tammara Ann Jordan?
The Tammara Ann Jordan was issued its 1104979731 on 2007-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Tammara Ann Jordan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tammara Ann Jordan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-24.