JORDAN AERIAL SHIELDS NPI 1942065578

NPI Information

NPI: 1942065578
Provider Name: JORDAN AERIAL SHIELDS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2431 NE 10TH ST APT 1
OKLAHOMA CITY, OK
ZIP 73117
Phone: (405) 455-0598
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Jordan Aerial Shields is a peer specialist in Oklahoma City, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jordan Aerial Shields NPI is 1942065578. 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:

2431 NE 10TH ST APT 1
OKLAHOMA CITY, OK
ZIP 73117-040
Phone: (405) 455-0598

The enumeration date for this NPI number is 2/13/2024 and was last updated on 2/13/2024.

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	175T00000X	Peer Specialist				Yes

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

NPI Synchronization or Removal

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