JERRY WALLACE JORDAN JR. (NPI# 1346414851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346414851 |
| Entity Type | Individual |
| Full Name | JERRY WALLACE JORDAN JR. |
| Practice Address |
445 N San Joaquin St Stockton CA 95202-2003 |
| Mailing Address |
6804 Danny Dr Unit 107 Stockton CA 95210-5329 |
| Practice Telephone | 2099430353 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932345287 | Jerry Jordan | Home Health Aide | 3806 Meadowbrook Blvd, University Heights, OH 44118-4433 | 2008-12-16 |
| 1447385950 | Jerry J. Jordan | Recreation Therapist | 325 Donna Ave, Guthrie, OK 73044-9494 | 2007-02-23 |
| 1457815706 | Jerry Monroe Jordan | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-01-30 |
| Street Address |
445 N SAN JOAQUIN ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396944336 | The Catholic Council for The Spanish Speaking of The Diocese of Stockt | Case Management | 445 N San Joaquin St, Stockton, CA 95202-2003 | 2007-07-11 |
| 1659971679 | Sadith Mariscal Velasquez | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-28 |
| 1154928372 | Estefania Vargas | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-01 |
| 1316544539 | Aly Crystal Ramirez | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-01 |
| 1831702653 | Janet Moreno | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-08-31 |
| 1588277644 | Lidia Barraza | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-08-28 |
| 1225652381 | Mayra Guadalupe Sandoval | Case Manager/Care Coordinator | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-06-04 |
| 1326609769 | Edith Tapia | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2019-06-26 |
| 1922662360 | Veronica Borrego Segovia-perez | Student in an Organized Health Care Education/Training Program | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2019-04-30 |
| 1093289613 | Nicole Deny Perez | Student in an Organized Health Care Education/Training Program | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968453 | Therapeutic Renovations | Counselor | 3445 Timberlane Dr, Stockton, CA 95209-5123 | 2020-10-04 |
| 1598383648 | Charalette Raychell Alston | Counselor | 4531 Borgia Ct, Stockton, CA 95207-6540 | 2020-07-06 |
| 1053932665 | Dionne Jimenez | Counselor | 2423 W March Ln, Stockton, CA 95207-8250 | 2020-05-05 |
| 1902446438 | Alen Navarro | Counselor | 300 N Gertrude Ave, Stockton, CA 95215-4820 | 2020-01-13 |
| 1366003444 | Louise Francoise Braden | Counselor | 2423 W March Ln Ste 200, Stockton, CA 95207-8250 | 2019-06-27 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1144721416 | Panhia Lo | Counselor | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2018-02-22 |
| 1346759719 | Latisha Patrice Thompson | Counselor | 3324 Anne St, Stockton, CA 95206-3835 | 2017-09-28 |
| 1215446992 | Kristi J Gavello | Counselor | 2495 W March Lane #125, Stockton, CA 95207 | 2017-09-25 |
| 1659890457 | Deadra Denise Woolbright | Counselor | 2254 E Church St, Stockton, CA 95205-6407 | 2017-09-12 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.