SHAUN MICHELLE JORDAN REGISTERED NURSE NPI 1245453372

NPI Information

Shaun Michelle Jordan, REGISTERED NURSE is an obstetric and inpatient registered nurse in Lynwood, CA. Shaun Michelle Jordan, REGISTERED NURSE NPI is 1245453372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3633 MARTIN LUTHER KING JR BLVD STE 3
LYNWOOD, CA
ZIP 90262-510
Phone: (310) 763-3075
Fax: (310) 763-3084

The NPI 1245453372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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