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

MRS. JORDAN NICOLE HAISLEY, NRAEMT, CAPS, MCP

Active Sole Proprietor

Specialist/Technologist, Other · MUNCIE, IN

Registration Details

NPI Number
1467975458
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2017 (8.7570511593735 yrs)
Last Updated
Oct 9, 2025
License
3089-0062 (IN)
Sole Proprietor
Yes

Practice Information

Address
201 W ROOSEVELT ST
MUNCIE, IN, 473031865
Browse IN providers · Browse ZIP 47303
Phone
7652288035
Primary Specialty
Specialist/Technologist, Other
246Y00000X
Additional Specialty
Rehabilitation Counselor
Additional Specialty
Behavior Technician
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.