Chevelle R Jordan, Registered Nurse
Registered Nurse, General Practice in Ruskin, FL. Individual provider (NPI-1).
NPI number1932729241
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1932729241
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Chevelle R Jordan
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2020
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN9402527 | FL | Yes |
| 163WH1000X | Registered Nurse, Hospice | RN9402527 | FL | |
| 163W00000X | Registered Nurse | RN9402527 | FL | |
| 163WC0400X | Registered Nurse, Case Management | RN9402527 | FL | |
| 163WC2100X | Registered Nurse, Continence Care | RN9402527 | FL | |
| 163WH0200X | Registered Nurse, Home Health | RN9402527 | FL | |
| 163WU0100X | Registered Nurse, Urology | RN9402527 | FL | |
| 163WW0000X | Registered Nurse, Wound Care | RN9402527 | FL | |
| 163WX1500X | Registered Nurse, Ostomy Care | RN9402527 | FL | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 251B00000X | Case Management | – | – | |
| 251E00000X | Home Health | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
239 Cascade Bend DrRuskin, FL 33570-6396
Phone 866-757-5858 · Fax 866-757-5858
Mailing address
235 Apollo Beach Blvd # 182Apollo Beach, FL 33572-2251
Phone 866-757-5858 · Fax 866-757-5858
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