Jordan, Keyana Tanie

Jordan, Keyana Tanie is an individual health care provider with primary practice located at 4508 Crowne Lake Cir Apt 1D , Jamestown NC 27282-7921. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jordan, Keyana Tanie can be contacted via phone (252) 314-7403.

Contact Information

Primary practice address
4508 Crowne Lake Cir Apt 1D Jamestown NC 27282-7921
Phone: (252) 314-7403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-25905 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A15383 North Carolina

Profile Details

NPI number 1902457682
LBN Legal business name Jordan, Keyana Tanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2019
Last updated Nov 23rd, 2019 - about 5 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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