Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN MICHELLE JORDAN, REGISTERED NURSE
Active Sole ProprietorSHAUN MICHELLE JORDAN, REGISTERED NURSE is a Oncology Nurse healthcare provider located in LYNWOOD, California. NPI 1245453372 is currently active in the NPPES registry. Verify at CMS.
Oncology Nurse · LYNWOOD, CA
Registration Details
- NPI Number
- 1245453372
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (19.375178318718 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RN417181 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3633 MARTIN LUTHER KING JR BLVD STE 3LYNWOOD, CA, 902623510Browse CA providers · Browse ZIP 90262
- Phone
- 3107633075
- Fax
- 3107633084
- Primary Specialty
-
Oncology Nurse
163WX0003X
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.