Elizabeth A Jordan, LPC, RN, CRNP, PMHNP is a professional counselor in Philadelphia, PA. Elizabeth A Jordan, LPC, RN, CRNP, PMHNP NPI is 1336428176. 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:
8001 STATE ROAD
MOD II, SUITE 107
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 624-0790
Fax: (215) 524-2998
The NPI 1336428176 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 8/10/2011 and was last updated on 10/19/2018.