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NPI Code Detail

MEDICARE: JAMIKA JORDAN

MEDICARE: JAMIKA JORDAN
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse192029OH

General Provider Information

NPI Number : 1972456325
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIKA JORDAN
Provider Business Mailing Address
First Line : 24900 ROCKSIDE RD APT 422
Second Line :
City : BEDFORD HTS
State : OH
Zip : 44146-1916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24900 ROCKSIDE RD APT 422
Second Line :
City : BEDFORD HTS
State : OH
Zip : 44146-1916
Country : US
Telephone Number : 440-550-9146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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