MISS VANESSA LYNN JORDAN


Address: 6906 Daerwood Pl, Charlotte, NC 28215-8038
Phone: 7044588129

MISS VANESSA LYNN JORDAN (NPI# 1538211099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538211099
Entity Type Individual
Full Name MISS VANESSA LYNN JORDAN
Credential LPC
Practice Address 6906 Daerwood Pl
Charlotte
NC 28215-8038
Practice Telephone 7044588129
Practice Fax Number 7045664472
Mailing Telephone 7044588129
Mailing Fax Number 7045664472
Enumeration Date 2007-01-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
4853 NC Behavioral Health & Social Service Providers

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Office Location

Street Address 6906 DAERWOOD PL
City CHARLOTTE
State NC
Zip Code 28215-8038

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NPI Name Taxonomy Address Enumeration
1679111769 Lawana Ussery Hill Case Management 1740 Misty Morn Drive, Charlotte, NC 28215 2019-12-19
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1033698527 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 2018-08-07
1538646088 Andrew Simpson Pharmacist 3805 Rocky River Rd, Charlotte, NC 28215 2018-07-26
1154818425 Korinne A Umlauft Specialist/Technologist 8618 Terra Cotta Dr, Charlotte, NC 28215 2018-04-22
1477058196 Harmony Health Pllc Community/Behavioral Health 8633 Pine Circle, Charlotte, NC 28215 2018-03-26
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1588166060 Allcare Medical Center,pllc Internal Medicine 7401 The Plaza, Charlotte, NC 28215 2018-03-01
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1063059731 Justina Mame Adadewa Ankrah Counselor 3001 Buckleigh Dr, Charlotte, NC 28215-7538 2019-12-02
1538704051 Hattie M Williams Counselor 7517 Orr Rd, Charlotte, NC 28213-6544 2019-11-07
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Competitor

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City CHARLOTTE
Zip Code 28215

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Dataset Information

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.

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