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NPI Code Detail

MEDICARE: JANET L JORDAN HIS

MEDICARE: JANET L JORDAN HIS
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
1237700000XHearing Instrument SpecialistHAS-3042NV

General Provider Information

NPI Number : 1780257386
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET L JORDAN HIS
Provider Business Mailing Address
First Line : 3120 S RAINBOW BLVD STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3120 S RAINBOW BLVD STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6235
Country : US
Telephone Number : 702-233-4327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 08/21/2024

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Directions to “ JANET L JORDAN HIS” Practice Location

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