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Maricka Bennett Jordan

Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).

NPI number1265375554
StatusActive
Last updated in NPPESApr 11, 2026

Details

NPI
1265375554
Entity type
Individual (NPI-1)
Name
Maricka Bennett Jordan
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2026
Certification date
Apr 11, 2026
Last updated
Apr 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Other names

  • Maricka Eudell Jordan (Former Name)

Practice location

622 W 168th St
New York, NY 10032-3720

Phone 212-305-2500

Mailing address

622 W 168th St
New York, NY 10032-3720

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