DERRICE CAROLYN JORDAN FNP NPI 1396969820

NPI Information

NPI: 1396969820
Provider Name: DERRICE CAROLYN JORDAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1800 E 93RD ST
BROOKLYN, NY
ZIP 11236
Phone: (347) 371-9824
Get Directions

Derrice Carolyn Jordan, FNP is a family nurse practitioner in Brooklyn, NY. Derrice Carolyn Jordan, FNP NPI is 1396969820. 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:

1800 E 93RD ST
BROOKLYN, NY
ZIP 11236-412
Phone: (347) 371-9824
Fax: (516) 706-3046

The enumeration date for this NPI number is 4/13/2007 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F333178	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2E6861	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	P63099	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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