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

STEPHANIE JORDAN

Active Sole Proprietor

STEPHANIE JORDAN is a Contractor healthcare provider located in LUCASVILLE, Ohio. NPI 1720495260 is currently active in the NPPES registry. Verify at CMS.

Contractor · LUCASVILLE, OH

Registration Details

NPI Number
1720495260
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2014 (12.119553821416 yrs)
Last Updated
Jul 20, 2014
License
2527902 (OH)
Sole Proprietor
Yes

Practice Information

Address
9500 CAMPCREEK RD
LUCASVILLE, OH, 45648
Browse OH providers · Browse ZIP 45648
Phone
7409814844
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in LUCASVILLE, OH

Name Credential NPI
MR. WILLIAM ERNEST GOODSON 1598977431
JAMES E MILLER 1255102547
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.