Destynie Jordan
Health & Wellness Coach in Hartsville, SC. Individual provider (NPI-1).
NPI number1013660125
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1013660125
- Entity type
- Individual (NPI-1)
- Name
- Destynie Jordan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2022
- Certification date
- Jan 28, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
2205 Ousleydale RdHartsville, SC 29550-8733
Phone 843-260-9062
Mailing address
2205 Ousleydale RdHartsville, SC 29550-8733
Phone 843-260-9062
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.