MICHELLE V JORDAN CPNP-AC/PC NPI 1427338748

NPI Information

NPI: 1427338748
Provider Name: MICHELLE V JORDAN, CPNP-AC/PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
927 45TH ST
STE 301
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 227-9240
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Michelle V Jordan, CPNP-AC/PC is a pediatrics nurse practitioner in West Palm Beach, FL. Michelle V Jordan, CPNP-AC/PC NPI is 1427338748. 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:

927 45TH ST
STE 301
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 227-9240
Fax: (561) 842-9570

The NPI 1427338748 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 10/24/2018.

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	363L00000X	Nurse Practitioner		5005260	NORTH CAROLINA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9490043	FLORIDA	Yes
3	363LP0200X	Nurse Practitioner	Pediatrics	5005260	NORTH CAROLINA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	221553	NORTH CAROLINA	No

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	1427338748	MEDICAID	NORTH CAROLINA
2	NP2803	MEDICAID	SOUTH CAROLINA

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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