Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS IESHA ANN JORDAN
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · VALRICO, FL
Registration Details
- NPI Number
- 1497545073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2025 (0.95528428821131 yrs)
- Last Updated
- May 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1329 EMERALD HILL WAYVALRICO, FL, 335945027Browse FL providers · Browse ZIP 33594
- Phone
- 8134852015
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.