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

STACEY LYNN JORDAN, LPO, CPO, BOC OP

Active

STACEY LYNN JORDAN, LPO, CPO, BOC OP is a Orthotist healthcare provider located in AMARILLO, Texas. NPI 1396177069 is currently active in the NPPES registry. Verify at CMS.

Orthotist · AMARILLO, TX

Registration Details

NPI Number
1396177069
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2013 (13.058604133147 yrs)
Last Updated
Aug 5, 2013
Licenses
488 (TX)
488 (TX)

Practice Information

Address
441 S WESTERN ST
AMARILLO, TX, 791068555
Browse TX providers · Browse ZIP 79106
Phone
8063537276
Fax
8063537539
Primary Specialty
Orthotist
222Z00000X
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.