Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY WALLACE JORDAN JR.
ActiveCommunity Health Worker · STOCKTON, CA
Registration Details
- NPI Number
- 1346414851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2008 (18.018955680052 yrs)
- Last Updated
- Dec 18, 2023
Practice Information
- Address
-
1212 N CALIFORNIA STSTOCKTON, CA, 952021552Browse CA providers · Browse ZIP 95202
- Phone
- 2094688831
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RUSSELL S PHILLIPS | — | 1184777492 |
| MS. CARLA JEAN SKILES | B.S. | 1740307719 |
| CHANTON LAM-COPELAND | — | 1467574137 |
| MR. TODD FABIAN | MA, BCBA | 1619090701 |
| MS. JENNIE LUPE MONTOYA | — | 1073636528 |
| MRS. RAKSMEY TIANO | PHD | 1649440280 |
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.