CHELSEA RAE JORDAN NPI 1174083141

NPI Information

NPI: 1174083141
Provider Name: CHELSEA RAE JORDAN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: INTERMED PA

PECOS Registration: Yes

Address:
84 MARGINAL WAY STE 900
PORTLAND, ME
ZIP 04101
Phone: (207) 874-2445
Get Directions

Chelsea Rae Jordan is a women's health nurse practitioner in Portland, ME with 5 years of experience. Chelsea Rae Jordan NPI is 1174083141. 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:

84 MARGINAL WAY STE 900
PORTLAND, ME
ZIP 04101-476
Phone: (207) 874-2445
Fax: (207) 523-8598

The NPI 1174083141 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 3/25/2019 and was last updated on 11/16/2020.

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	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	RN65173	MAINE	No
2	363LW0102X	Nurse Practitioner	Women's Health	CNP201368	MAINE	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: 11/14/2023

NPI Synchronization or Removal

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