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NPI Code Detail

MEDICARE: JAMIE MICHELLE JORDAN

MEDICARE: JAMIE MICHELLE 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
1163WX0200XOncology Registered Nurse746732NY

General Provider Information

NPI Number : 1275464828
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MICHELLE JORDAN
Provider Business Mailing Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 212-639-6300
Fax Number :
Provider Business Practice Location Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 212-639-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ JAMIE MICHELLE JORDAN ” Practice Location

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