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MS. JORDAN SUCHON NPI 1811655715


NPI Information

NPI: 1811655715
Provider Name: MS. JORDAN SUCHON
Classification: Military Health Care Provider - 1710I1002X
Entity Type: Individual

Specialization: Independent Duty Corpsman

Address:
435 MURRAY CIRCLE
SAUSALITO, CA
ZIP 94965
Phone: (415) 331-8247
Get Directions

MS. Jordan Suchon is an independent duty corpsman military health care provider in Sausalito, CA. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. MS. Jordan Suchon NPI is 1811655715. 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:

435 MURRAY CIRCLE
SAUSALITO, CA
ZIP 94965
Phone: (415) 331-8247

The enumeration date for this NPI number is 12/8/2021 and was last updated on 12/8/2021.


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
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanYes

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
11394556935OTHERDODID

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.