Stephanie Lynn Jordan
Technician, Attendant Care Provider in Lakewood, CO. Individual provider (NPI-1).
NPI number1962016972
StatusActive
Last updated in NPPESSep 7, 2020
Details
- NPI
- 1962016972
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephanie Lynn Jordan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2020
- Certification date
- Aug 6, 2020
- Last updated
- Sep 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | CO | Yes |
Practice location
7410 W Warren Cir Apt 1205Lakewood, CO 80227-2695
Phone 813-580-4651
Mailing address
7410 W Warren Cir Apt 1205Lakewood, CO 80227-2695
Phone 813-580-4651
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