Carmean, Jordan Blake

Carmean, Jordan Blake is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 1052 , Jackson MS 39216-4609. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Carmean, Jordan Blake can be contacted via phone (601) 981-9503.

Contact Information

Primary practice address
971 Lakeland Dr Ste 1052 Jackson MS 39216-4609
Phone: (601) 981-9503
Fax: (601) 982-0148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R890584 Mississippi

Profile Details

NPI number 1225397961
LBN Legal business name Carmean, Jordan Blake
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated May 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225397961 NPPES
Mississippi Other R890584 MISSISSIPPI BOARD OF NURSING

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