JORDAN EDWARDS NPI 1972278075

NPI Information

NPI: 1972278075
Provider Name: JORDAN EDWARDS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
800 N MAIN ST
ANNA, IL
ZIP 62906
Phone: (618) 833-4456
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Jordan Edwards is a counselor in Anna, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jordan Edwards NPI is 1972278075. 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:

800 N MAIN ST
ANNA, IL
ZIP 62906-665
Phone: (618) 833-4456
Fax: (618) 833-2371

The enumeration date for this NPI number is 8/11/2021 and was last updated on 8/11/2021.

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	101Y00000X	Counselor				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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