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ELIZABETH A JORDAN LPC RN CRNP PMHNP NPI 1336428176


NPI Information

NPI: 1336428176
Provider Name: ELIZABETH A JORDAN, LPC, RN, CRNP, PMHNP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
8001 STATE ROAD
MOD II, SUITE 107
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 624-0790
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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.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalPC005713PENNSYLVANIAYes
2163W00000XRegistered NurseRN662315PENNSYLVANIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthSP019102PENNSYLVANIANo

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

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.