Jordan, Elizabeth A

Jordan, Elizabeth A is an individual health care provider with primary practice located at 8001 State Road Mod Ii, Suite 107, Philadelphia PA 19136. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jordan, Elizabeth A can be contacted via phone (215) 624-0790.

Contact Information

Primary practice address
8001 State Road Mod Ii, Suite 107 Philadelphia PA 19136
Phone: (215) 624-0790
Fax: (215) 524-2998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN662315 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP019102 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC005713 Pennsylvania

Profile Details

NPI number 1336428176
LBN Legal business name Jordan, Elizabeth A
Credentials LPC, RN, CRNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Oct 19th, 2018 - about 6 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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