JAN A JORDAN (NPI# 1386146520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386146520 |
| Entity Type | Individual |
| Full Name | JAN A JORDAN |
| Credential | HAIR REPLACEMENT |
| Practice Address |
1615 2nd Ave N Columbus MS 39701-4927 |
| Practice Telephone | 6622447000 |
| Mailing Telephone | 6622447000 |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
717 | MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154588838 | Jan Rochelle Jordan | Speech-Language Pathologist | 1985 Stadium Dr, Sheridan, WY 82801-6728 | 2008-05-20 |
| 1801106117 | Jan Jordan | Counselor | 1717 1/2 W Jackson St, Hugo, OK 74743-5655 | 2010-10-20 |
| 1891027397 | Jan Ellen Jordan | Pharmacist | 5827 S Transit Rd, Lockport, NY 14094-6317 | 2010-02-08 |
| Street Address |
1615 2ND AVE N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39701-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370828 | Southern Hospitality Transportation | Non-emergency Medical Transport (VAN) | 702 #1 Hwy 45 North, Columbus, MS 39701 | 2019-01-14 |
| 1457844466 | Red 2 Black Consulting, LLC | Nurse Practitioner | 68 Brickerton St, Columbus, MS 39701 | 2018-06-13 |
| 1194134478 | John Wesley Conn | Counselor | 1001 Maint St, Columbus, MS 39701 | 2014-08-12 |
| 1902109903 | Jeffrey Wayne Carter | Contractor | 1809 7th Avenue North, Columbus, MS 39701 | 2010-12-13 |
| 1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
| 1134322886 | Johanna R Price | Speech-Language Pathologist | 1100 College Street Muw 1340, Columbus, MS 39701 | 2007-06-08 |
| 1396952057 | Roland Franklin Colom | Dentist | 907 Military Rd, Columbus, MS 39701 | 2007-05-16 |
| 1821142902 | Bob W Meek | Counselor | 200 6th St North, Suite 401, Columbus, MS 39701 | 2007-01-23 |
| 1447324173 | Tolley Valerie | Durable Medical Equipment & Medical Supplies | 818 2nd Ave North, Columbus, MS 39701 | 2006-11-17 |
| 1548347081 | Kimberly Mullin | Counselor | 700 10th Ave South, Columbus, MS 39701 | 2006-11-01 |
| Find all providers in zip 39701 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765724 | Shanea Buie | Specialist | 5977 Whitesville Rd Ste 20, Columbus, GA 31904-3618 | 2020-09-22 |
| 1336796234 | Michelle Renee Scott | Specialist | 5751 Milgen Rd Ste 101, Columbus, GA 31907-2447 | 2019-08-25 |
| 1386141877 | Sonya Powell Taylor | Specialist | 4922 Armour Rd, Columbus, GA 31904-5233 | 2018-04-10 |
| 1811417975 | Tashema Chester Johnson | Specialist | 4751 Warm Springs Rd, Columbus, GA 31909-4047 | 2017-06-21 |
| 1275064800 | Rakeshia Lashae Lafavor | Specialist | 2039 Torch Hill Rd, Suite 104, Columbus, GA 31903-4551 | 2017-03-24 |
| 1962949370 | Ginger Renea Pollard | Specialist | 2111 Warm Springs Rd, Columbus, GA 31904-7355 | 2017-01-23 |
| 1881049336 | Tiffany Miller | Specialist | 7000 Storage Ct Ste 9, Columbus, GA 31907-0702 | 2016-05-03 |
| 1003289240 | Akialah Haynes | Specialist | 1768 Cleveland Ave, Columbus, OH 43211 | 2015-11-10 |
| 1306269121 | Tonia Louise Bell | Specialist | 6944 Buckhorn Dr, Columbus, GA 31904-3211 | 2014-01-30 |
| 1851714182 | Vaniety Reid | Specialist | 6056 Channingway Blvd, Columbus, OH 43232-2901 | 2014-01-22 |
| Find all providers in COLUMBUS | ||||
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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.