Natasha Nicole Jordan
Clinic/Center, Health Services in Lehigh Acres, FL. Individual provider (NPI-1).
NPI number1265200760
StatusActive
Last updated in NPPESDec 13, 2023
Details
- NPI
- 1265200760
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Natasha Nicole Jordan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2023
- Certification date
- Dec 13, 2023
- Last updated
- Dec 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 174200000X | Meals | – | – | |
| 246QL0900X | Spec/Tech, Pathology, Laboratory Management | – | – | |
| 251E00000X | Home Health | – | – | |
| 372500000X | Chore Provider | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
264 Ground Dove CirLehigh Acres, FL 33936-6931
Phone 954-647-3153
Mailing address
264 Ground Dove CirLehigh Acres, FL 33936-6931
Phone 954-647-3153
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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.
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All 8 Health Service Clinic/Center providers in Lehigh Acres · All 2,122 providers in Lehigh Acres
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