Healthcare Provider Details

I. General information

NPI: 1902268048
Provider Name (Legal Business Name): JORDAN FALOON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 MAIN ST STE 3
NORWAY ME
04268-5645
US

IV. Provider business mailing address

193 MAIN ST
NORWAY ME
04268-5645
US

V. Phone/Fax

Practice location:
  • Phone: 207-743-7605
  • Fax:
Mailing address:
  • Phone: 207-743-7605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDO3022
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: