Johnny Lee Jordan
Peer Specialist · Saint Joseph, MI
NPI number
1891359634
Practice location
4032 M 139 Ste 108Saint Joseph, MI 49085-8664
- Phone
- (269) 556-1526
NPI record
- NPI
- 1891359634
- Entity type
- Individual (Type 1)
- Enumeration date
- April 26, 2019
- Last updated
- April 26, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Johnny Jordan
Johnny Lee Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664. The NPI number 1891359634 was assigned on April 26, 2019 and the record was last updated on April 26, 2019.
Frequently asked questions
What is the NPI number of Johnny Lee Jordan?
The NPI number is 1891359634.
What is the phone number of Johnny Jordan?
The phone number listed for the practice location is (269) 556-1526.
Where is Johnny Jordan located?
4032 M 139 Ste 108, Saint Joseph, MI 49085-8664.
What is the taxonomy code for Johnny Jordan?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Peer Specialist providers in Saint Joseph
- Jay Richard Bond4032 M 139
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- Meghan Donnelle Dawson4032 M 139 Ste 108
- Tisha Ann Troyer4032 M 139
- Sharon Jordan4032 M 139
- Benjamin James Dorstewitz4032 M 139
- Veronica Nicole Miller4032 M 139
- Katrina Marie Williams4032 M 139
- Leeann C. Staggs4032 M 139 Ste 108
- Jeremy Grant Bishop4032 M 139
- Matthew Allen Neal4032 M 139
- Raymond James Fleming4032 M 139