MEDICARE: JORDAN QUINN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1154174027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN QUINN

Provider Business Mailing Address
First Line	:	PO BOX 2632
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-2632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2369 PASADENA LN
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9388
Country	:	US
Telephone Number	:	424-439-0759
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	06/04/2026

Similar Medicare Providers

1649659905 — MS. MICHELLE SUZANNE DUQUET
Practice Location Address:

9456 LAKE CREST DR
WHITMORE LAKE, MI
48189-9388

Practice Phone: 810-599-4561
Practice Fax:

1508391590 — FOUNDATIONAL EVOLUTIONS LLC
Practice Location Address:

20720 187TH AVE NW
BIG LAKE, MN
55309-9388

Practice Phone: 612-499-2816
Practice Fax:

1306777388 — MISS HALEY ANN SAGE BS
Practice Location Address:

2731 NUGGET AVE
LAKE ISABELLA, CA
93240-9456

Practice Phone: 760-379-3412
Practice Fax:

1154254464 — NOLAN HINKEY
Practice Location Address:

2731 NUGGET AVE
LAKE ISABELLA, CA
93240-9456

Practice Phone: 760-379-3412
Practice Fax:

1023010840 — DR. JOSEPH MAUGHAN KENT D.D.S.
Practice Location Address:

6421 LYNCH CANYON DR
LAKE ISABELLA, CA
93240-9726

Practice Phone: 760-379-3626
Practice Fax:

1023007762 — KERN VALLEY MEDICAL SUPPLY
Practice Location Address:

5213 LAKE ISABELLA BLVD
LAKE ISABELLA, CA
93240-9642

Practice Phone: 760-379-8111
Practice Fax: 760-379-1411

Directions to “ JORDAN QUINN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.