JACQUELINE LOVON JORDAN (NPI# 1700349115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700349115 |
Entity Type | Individual |
Full Name | JACQUELINE LOVON JORDAN |
Practice Address |
172 Spring St Sw Concord NC 28025-5035 |
Practice Telephone | 7047868722 |
Mailing Telephone | 7047868722 |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CSAC-21242 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225412497 | Jacqueline Jordan | Case Manager/Care Coordinator | 5521 Sw 10th Ave, Topeka, KS 66604-2101 | 2015-07-16 |
1114292331 | Jacqueline Jordan | Registered Nurse | 65 Southfield St, Kingston, NY 12401-1913 | 2012-03-21 |
1912224064 | Jacqueline D Jordan | Social Worker | 6815 W. Capitol Avenue, Milwaukee, WI 53216 | 2010-04-29 |
1477671618 | Jacqueline Ann Jordan | Psychiatry & Neurology | 949 Saint Andrews Cir, Geneva, IL 60134-2995 | 2007-03-26 |
1801497193 | Jacqueline Jordan | Clinic/Center | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-11-04 |
1205477346 | Jacqueline Jordan | Home Health Aide | 2639 Naylor Rd Se Apt 102, Washington, DC 20020-7249 | 2019-09-30 |
1215422514 | Jacqueline Jordan | Physician Assistant | 809 Main St, East Hartford, CT 06108-3142 | 2018-06-28 |
1801253257 | Jacqueline Jordan | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2016-01-15 |
1023373644 | Jacqueline B Jordan | Speech-Language Pathologist | 358 Mclaws Cir, Suite 1, Williamsburg, VA 23185-6344 | 2012-07-10 |
1134447105 | Jacqueline Marie Jordan | Social Worker | 1117 N Jackson St, Bloomington, IN 47404-3385 | 2010-05-14 |
Street Address |
172 SPRING ST SW |
City | CONCORD |
State | NC |
Zip Code | 28025-5035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073634408 | The Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 172 Spring St Sw, Concord, NC 28025-5035 | 2007-04-03 |
1700443207 | Mark Sturgis Jr. | Psychologist | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
Find all providers in zip 28025 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
1811504574 | Kaci Tolen | Counselor | 2085 Solano Way Apt A, Concord, CA 94520-4781 | 2020-09-28 |
1407496391 | Amanda J Deprosse | Counselor | 4713 Curletto Dr, Concord, CA 94521-2125 | 2020-01-09 |
1093357634 | Virginia Ann Booth | Counselor | 1470 Civic Ct # 100, Concord, CA 94520-5290 | 2019-10-15 |
1538726146 | Ashley Halabi | Counselor | 250 Pleasant St Ste 5410, Concord, NH 03301-2598 | 2019-05-20 |
1578025383 | A New Pathway LLC | Counselor | 150 Piney Church Rd, Concord, NC 28025-7081 | 2019-04-01 |
1730660499 | Christopher Brian Mulcahy | Counselor | 4 Bicentennial Sq Ste 6, Concord, NH 03301-4069 | 2018-08-22 |
1235625666 | Elizabeth Pellegrini | Counselor | 90 Airport Rd Ste 17, Concord, NH 03301-5326 | 2018-07-09 |
1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
1104362672 | David Swaim | Counselor | 1470 Civic Ct Ste 111, Concord, CA 94520-5290 | 2017-01-09 |
Find all providers in CONCORD |
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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.