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NPI Code Detail

MEDICARE: JORDAN ASHLEIGH GILBERT

MEDICARE: JORDAN ASHLEIGH GILBERT
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740136431
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN ASHLEIGH GILBERT
Provider Business Mailing Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 815-651-2483
Fax Number : 814-456-5145
Provider Business Practice Location Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 815-651-2483
Fax Number : 814-456-5145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ JORDAN ASHLEIGH GILBERT ” Practice Location

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