SOPHIA DENISE MONCRIEFFE-JORDAN


Address: 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122
Phone: 2165266026

SOPHIA DENISE MONCRIEFFE-JORDAN (NPI# 1760083174) 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) 1760083174
Entity Type Individual
Full Name SOPHIA DENISE MONCRIEFFE-JORDAN
Credential NP
Practice Address 23511 Chargin Blvd
Apt. E312
Beachwood
OH 44122
Practice Telephone 2165266026
Mailing Telephone 2165266026
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN.CNP.0027888 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 23511 CHARGIN BLVD
APT. E312
City BEACHWOOD
State OH
Zip Code 44122

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1598312704 Nizar Andria Student in an Organized Health Care Education/Training Program Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 2019-08-22
1437703998 Malinda Ann Davis Social Worker 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 2019-08-01
1891265864 Karlan Champagne Case Management 23215 Commerence Park, 306, Beachwood, OH 44122 2018-12-03
1952896565 Donna Pinkney Counselor 20550 University Blvd Apt 206, Shaker Hts, OH 44122 2018-06-26
1255825857 Elizabeth Anne Donathan Registered Nurse 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 2018-06-18
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417406372 Hallie R Sternen Nurse Practitioner 4200 Warrensville Center Rd Ste 430, Beachwood, OH 44122-7000 2016-10-03
1912520156 Sellamawit Gaim Nurse Practitioner 23333 Harvard Rd, Beachwood, OH 44122-6232 2020-05-22
1508167222 Luann J Capone Nurse Practitioner One David N Myers Parkway, Beachwood, OH 44122 2010-11-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649879032 Danielle Wines Nurse Practitioner 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 2020-10-19
1881292902 Karen Cooper Nurse Practitioner 730 A Kittle Road, Wheelersburg, OH 45694 2020-10-12
1659983252 Michael A. Adams Nurse Practitioner 3837 Washington Blvd, University Heights, OH 44118-3158 2020-08-17
1912516709 Susan Marie Hessey Nurse Practitioner 4502 Satinwood Dr, Toledo, OH 43623-3350 2020-07-28
1518585728 Diane Louise Lamb Nurse Practitioner 3163 Hook Waltz Rd E, Elida, OH 45807-9555 2020-07-14
1215553052 Jennifer Cordray Nurse Practitioner 5452 Grace Dr, Mentor, OH 44060-1500 2020-06-17
1053943134 Chunyan Mcelroy Nurse Practitioner 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 2020-02-06
1790324432 Ashley Nicole Neely Nurse Practitioner 890 Oakwood Dr, Alliance, OH 44601-5435 2019-12-28
1710530357 Christine Marie Hoover Nurse Practitioner 65 Community Rd Ste C, Tallmadge, OH 44278-2358 2019-07-23
1659939015 Marcia A. Stephens Aprn LLC Nurse Practitioner 7450 Miami Hills Dr, Cincinnati, OH 45243-1814 2019-05-31
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Competitor

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City BEACHWOOD
Zip Code 44122

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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.

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