LISA DENISE JORDAN (NPI# 1134421415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134421415 |
| Entity Type | Individual |
| Full Name | LISA DENISE JORDAN |
| Credential | R.N. |
| Practice Address |
853 Battlecreek Rd Jonesboro GA 30236-1919 |
| Mailing Address |
2733 Cedar Tree Ln Ellenwood GA 30294-3983 |
| Practice Telephone | 7704781099 |
| Mailing Telephone | 6784228780 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN211483 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1306351119 | Lisa Dawn Jordan | Behavior Technician | 20 Cherry Ave, Bradenton, FL 34207-4917 | 2017-12-04 |
| 1669924809 | Lisa Jordan | Social Worker | 163 Stimson St, Palmer, MA 01069-9522 | 2016-11-03 |
| 1417117904 | Lisa Renee Jordan | Physical Therapist | 303 N. Hurstbourne Parkway Suite 200, Paragon Rehabilitation, Louisville, KY 40222 | 2008-06-10 |
| 1790800191 | Lisa L Jordan | Social Worker | 2175 Little Horn Dr, Sheridan, WY 82801-8820 | 2007-03-21 |
| 1902966732 | Lisa Jordan | Acupuncturist | 101 Cottage Ave Ste K, Cashmere, WA 98815 | 2006-12-11 |
| 1861595787 | Lisa Dobson Jordan | Speech-Language Pathologist | 9405 Highway 17 By-pass, Murrells Inlet, SC 29576 | 2006-09-06 |
| 1669453320 | Lisa Jordan | Optometrist | 4 Garden Ctr, Ste 100, Broomfield, CO 80020-7026 | 2005-11-09 |
| 1336769371 | Lisa Elaine Jordan | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-04-20 |
| 1265909055 | Lisa Jordan | Prevention Professional | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-10-30 |
| Street Address |
853 BATTLECREEK RD |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649257791 | Clayton Community Mental Health Substance Ab | Clinic/Center | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2005-12-29 |
| 1396303731 | Raphel Rice | Clinic/Center | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2019-05-31 |
| 1518428747 | Terri Anderson Williams | Registered Nurse | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2019-03-29 |
| 1457810095 | Shawn Maria Coleman | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2019-03-13 |
| 1851880926 | Jenise Trannell Clark | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2018-05-04 |
| 1255873709 | Dorothy A. Fondi | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-11-15 |
| 1801348131 | Nicole Heather Dawn Holmes | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-11-03 |
| 1871045187 | Caryn Haire | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-11-03 |
| 1700338472 | Joy Boyce | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-10-28 |
| 1194276071 | Stacey Nicole Paxton | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309128 | Debora K Boyle Borkowski | Registered Nurse | 2400 Mount Zion Parkway, Department of Behavioral Health, Jonesboro, GA 30236 | 2006-01-09 |
| 1053733881 | Aundrea Souders | Registered Nurse | 2809 Forest Home Rd, Jonesboro, AR 72401-5320 | 2014-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877013 | Aurelia Linda Bryant-moody | Registered Nurse | 2012 Eastview Pkwy Ste 400, Conyers, GA 30013-5701 | 2018-07-11 |
| 1902349145 | Erica Steed | Registered Nurse | 3270 Cape Cir, Alpharetta, GA 30009-3772 | 2016-11-21 |
| 1821344557 | Nellie Idara Samuel | Registered Nurse | 2400 Northside Xing, Macon, GA 31210-2252 | 2012-07-31 |
| 1720340078 | Linda D Ilesanmi | Registered Nurse | 4045 George Busbee Pkwy Nw, Kennesaw, GA 30144-4894 | 2012-06-12 |
| 1386910438 | Thomas L Myers | Registered Nurse | 644 Shannon Way, Lawrenceville, GA 30044-6305 | 2012-03-22 |
| 1073889143 | Maureen U Anyaoha | Registered Nurse | 1410 Paddocks Way, Powder Springs, GA 30127-5500 | 2012-03-22 |
| 1780959106 | Barbara Elaine Hill-coatney | Registered Nurse | 1358 Thomas Rd, Decatur, GA 30030-4621 | 2012-03-19 |
| 1740554799 | Lanalynne Ann Kurtzworth | Registered Nurse | 35 Beranda Cir, Douglasville, GA 30134-4626 | 2012-03-07 |
| 1659668622 | Willie C Onyilo | Registered Nurse | 3126 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2011-06-29 |
| 1124314232 | Philomen Anabelle Mcfee | Registered Nurse | 225 Johnson Rd, 45e, Forest Park, GA 30297-2861 | 2011-06-27 |
| Find all providers with the same taxonomy | ||||
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| 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.