Niobe Tisha Jordan, RN
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1750866596
StatusActive
Last updated in NPPESMar 4, 2019
Details
- NPI
- 1750866596
- Entity type
- Individual (NPI-1)
- Name
- Niobe Tisha Jordan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2018
- Last updated
- Mar 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 709522 | NY | Yes |
Practice location
57 Willoughby StBrooklyn, NY 11201-5257
Phone 212-646-8111
Mailing address
57 Willoughby StBrooklyn, NY 11201-5257
Other practice locations
57 Willoughby St
Brooklyn, NY 11201-5257
Brooklyn, NY 11201-5257
Phone 212-646-8111
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