Nycole Sherice Jordan, ALC
Counselor in Mobile, AL. Individual provider (NPI-1).
NPI number1609592997
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1609592997
- Entity type
- Individual (NPI-1)
- Name
- Nycole Sherice Jordan
- Credential
- ALC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2022
- Certification date
- Oct 18, 2022
- Last updated
- Oct 18, 2022
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 |
|---|---|---|---|---|
| 101Y00000X | Counselor | ALC03224 | AL | Yes |
Practice location
600 Bel Air Blvd Ste 128Mobile, AL 36606-3501
Phone 251-321-2013
Mailing address
Po Box 9031Mobile, AL 36691-0031
Phone 251-321-2013
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.
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