Jordan, Kathleen

Jordan, Kathleen is an individual health care provider with primary practice located at 1050 Forest Hill Rd , Staten Island NY 10314-6356. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jordan, Kathleen can be contacted via phone (718) 494-4876.

Contact Information

Primary practice address
1050 Forest Hill Rd Staten Island NY 10314-6356
Phone: (718) 494-4876
Fax: (718) 494-2258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 265048-1 New York

Profile Details

NPI number 1487791158
LBN Legal business name Jordan, Kathleen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 17 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 1487791158 NPPES
New York Other 265048-1 RN LICENSE

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