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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. IVY JUSTINE JORDAN, L.P.N.

Active Sole Proprietor

MS. IVY JUSTINE JORDAN, L.P.N. is a Licensed Practical Nurse healthcare provider located in CANTON, Ohio. NPI 1336343318 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CANTON, OH

Registration Details

NPI Number
1336343318
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2007 (18.984358728978 yrs)
Last Updated
Jan 11, 2011
License
PN 106915 (OH)
Sole Proprietor
Yes

Practice Information

Address
105 WERTZ AVE NW APT 7
CANTON, OH, 447084100
Browse OH providers · Browse ZIP 44708
Phone
3304521539
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CANTON, OH

Name Credential NPI
MRS. CINDI RENEA DAGENHARD LPN 1114936119
CAROLYN M MCCUNE NP 1942372214
CATHY A GRADY LPN 1275677262
MS. STEPHANIE M. ZAHLER LPN 1972639409
LORELEI PENROD LPN, CHPLN 1851517338
LISA COLEEN FIKE 1366652265
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.