Amanda T. Jordan in Summit - Women's Health
Amanda T. Jordan - NPI 1710044474
Amanda T. Jordan is a Women's Health in Summit, Mississippi. Amanda T. Jordan practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Amanda T. Jordan is 1710044474. The last update date is 2007-07-09.
Amanda T. Jordan's current location address is 7510 Moak Rd, Summit, Mississippi. You can contact this provider via phone number 6016841205 and fax number 6016841205. The mailing address for Amanda T. Jordan is 7510 Moak Rd, Summit, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda T. Jordan |
|---|---|
| Address | 7510 Moak Rd, Summit, Mississippi |
| Phone Number | 6016841205 |
| Fax Number | 6016841205 |
| Sole Proprietor | Y |
| Credentials | OGNP |
NPI Number Detail
| NPI Number | 1710044474 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 7510 Moak Rd |
|---|---|
| City | Summit |
| State | Mississippi (MS) |
| Post Code | 396667580 |
| Phone Number | 6016841205 |
| Fax Number | 6016841205 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | R575623 |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124011 | MS | -- |
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What is the unique 10-digit identification code assigned to Amanda T. Jordan by the Centers for Medicare & Medicaid Services?
The Amanda T. Jordan has been issued the NPI (National Provider Identifier) 1710044474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Amanda T. Jordan located?
The Amanda T. Jordan is located at 7510 Moak Rd, Summit, MS 396667580.
What is the Amanda T. Jordan's specialty and taxonomy code?
The Amanda T. Jordan's specialty is Women's Health, and the corresponding taxonomy code is 363Lw0102X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710044474 to Amanda T. Jordan?
The Centers for Medicare & Medicaid Services originally issued the 1710044474 to Amanda T. Jordan on 2007-01-02.
As of what date were the Amanda T. Jordan's details last updated?
The information pertaining to the Amanda T. Jordan, including its address, specialty, and other details, was most recently updated on 2007-07-09.