SHEA JORDAN RN NPI 1114654712

NPI Information

NPI: 1114654712
Provider Name: SHEA JORDAN, RN
Classification: Registered Nurse - 163WP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
250 DEWEY AVE
SPARTANBURG, SC
ZIP 29303
Phone: (864) 585-0366
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Shea Jordan, RN is a psychiatric/mental health and child and adolescent registered nurse in Spartanburg, SC. Shea Jordan, RN NPI is 1114654712. 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:

250 DEWEY AVE
SPARTANBURG, SC
ZIP 29303-009
Phone: (864) 585-0366

The enumeration date for this NPI number is 8/3/2022 and was last updated on 8/3/2022.

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	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	228850	SOUTH CAROLINA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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