Coleman, Jordan Andrew

Coleman, Jordan Andrew is an individual health care provider with primary practice located at 130 May Morning Dr , Lexington SC 29073-9440. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Coleman, Jordan Andrew can be contacted via phone (803) 608-8034.

Contact Information

Primary practice address
130 May Morning Dr Lexington SC 29073-9440
Phone: (803) 608-8034
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 217780 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1477056281 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 21973 South Carolina

Profile Details

NPI number 1477056281
LBN Legal business name Coleman, Jordan Andrew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2018
Last updated Apr 20th, 2023 - about last year

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 1477056281 NPPES
South Carolina MEDICAID AN2775

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