Healthcare Provider Details

I. General information

NPI: 1225946486
Provider Name (Legal Business Name): JORDYN LEIGH CLAYTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6569 HIGHWAY 84
FERRIDAY LA
71334-4573
US

IV. Provider business mailing address

10357 HIGHWAY 15
CLAYTON LA
71326-5020
US

V. Phone/Fax

Practice location:
  • Phone: 318-757-6551
  • Fax:
Mailing address:
  • Phone: 601-870-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number218312
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: