Jordan, Tiffany B

Jordan, Tiffany B is an sole proprietor health care provider with primary practice located at 2235 Venetian Court Suite 1, Naples FL 34109-8728. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jordan, Tiffany B can be contacted via phone (239) 596-9337.

Contact Information

Primary practice address
2235 Venetian Court Suite 1 Naples FL 34109-8728
Phone: (239) 596-9337
Fax: (239) 596-9466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT22440 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X AL1992 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106038 Florida

Profile Details

NPI number 1407072341
LBN Legal business name Jordan, Tiffany B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 31st, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407072341 NPPES
Florida Other FH622Y K4948 MEDICARE

Popular Providers