DR. EARLENE JORDAN M.D. NPI 1023048873

NPI Information

  • NPI: 1023048873
  • Provider Name: DR. EARLENE JORDAN, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 2401 BLUERIDGE AVE STE 210
    WHEATON, MD
    ZIP 20902
  • Phone: (301) 933-6440

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NPI Details

DR. Earlene Jordan, M.D. is a pediatrics in Wheaton, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Earlene Jordan, M.D. NPI is 1023048873. 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:

2401 BLUERIDGE AVE STE 210
WHEATON, MD
ZIP 20902-517
Phone: (301) 933-6440
Fax: (301) 933-5923

The enumeration date for this NPI number is 7/4/2006 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
1208000000XPediatricsD36653MARYLANDYes

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
143233MEDICARE UPINMARYLAND
2527541500MEDICAIDMARYLAND

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: 11/21/2025

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