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

MARIO JORDAN, APRN, PMHNP-BC

Active Sole Proprietor

MARIO JORDAN, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LAKEWOOD, Ohio. NPI 1578014403 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · LAKEWOOD, OH

Registration Details

NPI Number
1578014403
Provider Type
Individual
Gender
Male
NPI Issued
Oct 14, 2016 (9.6449963583937 yrs)
Last Updated
Aug 17, 2023
Licenses
APRN.CNP.0034613 (OH)
RN416819 (OH)
Sole Proprietor
Yes

Practice Information

Address
12900 LAKE AVE APT 1101
LAKEWOOD, OH, 441071552
Browse OH providers · Browse ZIP 44107
Phone
2162698527
Additional Specialty
Registered Nurse

Other Psychiatric/Mental Health Nurse Practitioner Providers in LAKEWOOD, OH

Name Credential NPI
MARILYN CULLEY 1356593750
MARGARITA PEREZ MSN, APRN, PMHNP-BC 1679185441
DAVID STABLER APRN-PMHNP 1003562604
KAYLA STEWART MSN, APRN, PMHNP-BC 1750151874
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.