Mario Jordan, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Lakewood, OH. Mario Jordan, APRN, PMHNP-BC NPI is 1578014403. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12900 LAKE AVE APT 1101
LAKEWOOD, OH
ZIP 44107-552
Phone: (216) 269-8527
The NPI 1578014403 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 10/14/2016 and was last updated on 8/17/2023.