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JORDANS PLACE PEDIATRICS PA NPI 1215486642


NPI Information

NPI: 1215486642
Provider Name: JORDANS PLACE PEDIATRICS, PA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D0975262

Address:
3 HATLEY RD
BELFAST, ME
ZIP 04915
Phone: (800) 868-1792
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JORDANS PLACE PEDIATRICS, PA is a family nurse practitioner in Belfast, ME. JORDANS PLACE PEDIATRICS, PA NPI is 1215486642. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 HATLEY RD
BELFAST, ME
ZIP 04915-878
Phone: (800) 868-1792

The provider's authorized official is Sherri Barclay .
The authorized official title is Owner, Provider and has the following contact phone number (903) 438-1110.

The CLIA number assigned to this NPI record is 45D0975262 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 9/27/2016.


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
1363LF0000XNurse PractitionerFamilyAP131881TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.