Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERMAINE JORDAN, STNA
Active Sole ProprietorJERMAINE JORDAN, STNA is a 3104A0630X healthcare provider located in SANFORD, Florida. NPI 1104368240 is currently active in the NPPES registry. Verify at CMS.
3104A0630X · SANFORD, FL
Registration Details
- NPI Number
- 1104368240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2016 (9.7250562623378 yrs)
- Last Updated
- Nov 7, 2016
- License
-
CNA312402 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1210 RETREAT VIEW CIRSANFORD, FL, 327717276Browse FL providers · Browse ZIP 32771
- Phone
- 2167729101
- Primary Specialty
-
3104A0630X
3104A0630X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.