Healthcare Provider Details

I. General information

NPI: 1972417178
Provider Name (Legal Business Name): JORDAN ANN SVADLENAK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44630 MONTEREY AVE STE 100
PALM DESERT CA
92260-3326
US

IV. Provider business mailing address

13626 ASTON MNR
SAN ANTONIO TX
78253-7351
US

V. Phone/Fax

Practice location:
  • Phone: 760-656-6116
  • Fax:
Mailing address:
  • Phone: 210-518-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number860301
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95441085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: