Healthcare Provider Details

I. General information

NPI: 1477823193
Provider Name (Legal Business Name): JORDAN R ARBELAEZ DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 8TH AVE
NEW YORK NY
10011-0607
US

IV. Provider business mailing address

26 ROMAINE AVE UNIT 1
JERSEY CITY NJ
07306-5604
US

V. Phone/Fax

Practice location:
  • Phone: 804-467-3933
  • Fax:
Mailing address:
  • Phone: 804-467-3933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number405007
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: