MRS. TIFFANY LYNN JORDAN CNP NPI 1710290317

NPI Information

NPI: 1710290317
Provider Name: MRS. TIFFANY LYNN JORDAN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: THE LITTLE CLINIC OF OHIO LLC

PECOS Registration: Yes

Address:
3000 ARLINGTON AVE
TOLEDO, OH
ZIP 43614
Phone: (419) 383-6656
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MRS. Tiffany Lynn Jordan, CNP is a family nurse practitioner in Toledo, OH with 4 years of experience. MRS. Tiffany Lynn Jordan, CNP NPI is 1710290317. 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:

3000 ARLINGTON AVE
TOLEDO, OH
ZIP 43614-598
Phone: (419) 383-6656
Fax: (419) 383-3167

The NPI 1710290317 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 7/23/2010 and was last updated on 5/4/2021.

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	163W00000X	Registered Nurse		RN.383367	OHIO	No
2	164W00000X	Licensed Practical Nurse		PN.119927	OHIO	No
3	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0028325	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3074097	MEDICAID	OHIO

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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