TYNETTE JORDAN


Address: 708 N.w Wilson St., Lake City, FL 32055
Phone: 4076808483

TYNETTE JORDAN (NPI# 1124439351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124439351
Entity Type Individual
Full Name TYNETTE JORDAN
Practice Address 708 N.w Wilson St.
Lake City
FL 32055
Mailing Address 708 Nw Wilson St
Lake City
FL 32055-1808
Practice Telephone 4076808483
Mailing Telephone 4076808483
Enumeration Date 2014-05-09
Last Update Date 2014-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 708 N.W WILSON ST.
City LAKE CITY
State FL
Zip Code 32055

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114439510 Melissa Fay Peters Nurse Practitioner 5085 West Us Highway 90, Lake City, FL 32055 2017-10-26
1851801765 Stephanie Jo Nogle Occupational Therapist Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 2017-10-05
1831617273 Erica Mayo Pharmacist 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 2017-09-06
1144759333 Jerry Hamilton Cheesman Dentist 217 Ne Franklin Sreet, Lake City, FL 32055 2017-06-09
1487183745 Joshua Allore Dentist 2970 W Us Highway 90., Lake City, FL 32055 2017-06-08
1497298418 Careing Hands Preferred Provider Organization 1471nw Queen Rd, Lakecity, FL 32055 2016-11-22
1881148278 Corniqueca Stewart-simmons Nurse Practitioner 340 Nw Commerce Drive, Lake City, FL 32055 2016-08-15
1164809141 Latasha Harten-jones Licensed Practical Nurse 443 Ne Sims Dr, Lake City, FL 32055 2015-04-29
1154716447 Lindsey Morton Counselor 219 Se Baya Avenue, Lake City, FL 32055 2015-04-02
1437579372 Shara Evans Specialist 501 Nw Lake City Ave, Apt 103, Lake City, FL 32055 2014-04-18
Find all providers in zip 32055

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366171 Neurodiverse Ability Services LLC Counselor 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 2020-11-02
1538715016 Vanessa George Counselor 930 Ne Joe Coney Ter, Lake City, FL 32055-1636 2019-08-12
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1811399439 Michael Ortiz Counselor 311 Se Mill Creek Ct, Lake City, FL 32025-3912 2014-09-25
1730426347 Jesenia Minniefield Counselor 136 Nw Veterans St, Lake City, FL 32055-3900 2013-01-16
1780957050 Daphne O Cunningham Counselor 922 Sw Baya Dr, Lake City, FL 32025-4209 2012-02-17
1841585874 Vadonna Benson Bartell Counselor 711 Bartells Rd, Lake City, SC 29560-7564 2011-06-17
1417100140 Resolutions Health Alliance, P.a. Counselor 297 Nw Hillsboro St, Lake City, FL 32055-3320 2008-10-28
1093974164 Robert Reynierson Counselor 439 Sw Michigan Street, Lake City, FL 32025-0440 2008-06-04
1326206012 Julie Melvin Counselor 761 Se Defender Dr, Lake City, FL 32025-6367 2008-05-29
Find all providers in LAKE CITY

Competitor

Search similar providers

City LAKE CITY
Zip Code 32055

Improve Information

Please comment or provide details below to improve the information on TYNETTE JORDAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches