Jordan, Ivy Justine

Jordan, Ivy Justine is an sole proprietor health care provider with primary practice located at 105 Wertz Ave Nw Apt 7 , Canton OH 44708-4100. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jordan, Ivy Justine can be contacted via phone (330) 452-1539.

Contact Information

Primary practice address
105 Wertz Ave Nw Apt 7 Canton OH 44708-4100
Phone: (330) 452-1539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 106915 Ohio

Profile Details

NPI number 1336343318
LBN Legal business name Jordan, Ivy Justine
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jan 11th, 2011 - about 13 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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