NAKIA STACI JORDAN NPI 1962090886

NPI Information

NPI: 1962090886
Provider Name: NAKIA STACI JORDAN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
10005 MILL CENTRE DR APT 372
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 226-9669
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Nakia Staci Jordan is a home health registered nurse in Owings Mills, MD. Nakia Staci Jordan NPI is 1962090886. 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:

10005 MILL CENTRE DR APT 372
OWINGS MILLS, MD
ZIP 21117-098
Phone: (443) 226-9669

The enumeration date for this NPI number is 1/6/2021 and was last updated on 8/23/2021.

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	251E00000X	Home Health				No
2	163WH0200X	Registered Nurse	Home Health	0	MARYLAND	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	1457940389	MEDICAID	MARYLAND

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: 11/14/2023

NPI Synchronization or Removal

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