Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY NACOLE JORDAN
Active Sole ProprietorKIMBERLY NACOLE JORDAN is a Occupational Therapist healthcare provider located in FORT DEPOSIT, Alabama. NPI 1508230988 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT DEPOSIT, AL
Registration Details
- NPI Number
- 1508230988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2015 (10.718775052265 yrs)
- Last Updated
- Nov 22, 2015
- License
-
3721 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
435 PINE STFORT DEPOSIT, AL, 360324740Browse AL providers · Browse ZIP 36032
- Phone
- 3348332396
- Primary Specialty
-
Occupational Therapist
225X00000X
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.