Individual provider · NPI-1
Angela Sue Jordan
Technician, Attendant Care Provider · Portsmouth, OH
NPI number1215872940
StatusActive
Last updated in NPPESApr 20, 2026
Details
- NPI
- 1215872940
- Entity type
- Individual (NPI-1)
- Name
- Angela Sue Jordan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2026
- Certification date
- Apr 20, 2026
- Last updated
- Apr 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | RF895684 | OH | Yes |
Practice location
304 Wilson StPortsmouth, OH 45662-5672
Phone 740-935-7236
Mailing address
304 Wilson StPortsmouth, OH 45662-5672
Phone 740-935-7236
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