Haisley, Jordan Nicole

Haisley, Jordan Nicole is an sole proprietor health care provider with primary practice located at 201 W Roosevelt St , Muncie IN 47303-1865. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information is her primary health care specialty. Haisley, Jordan Nicole can be contacted via phone (765) 228-8035.

Contact Information

Primary practice address
201 W Roosevelt St Muncie IN 47303-1865
Phone: (765) 228-8035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 3089-0062 Indiana
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Health Information 246Y00000X

Profile Details

NPI number 1467975458
LBN Legal business name Haisley, Jordan Nicole
Credentials NRAEMT, MCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2017
Last updated Jul 21st, 2022 - about 2 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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