Kelly, Jordan Lacey
Kelly, Jordan Lacey is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Kelly, Jordan Lacey can be contacted via phone (888) 339-8727.Contact Information
Primary practice address
636 Del Prado Blvd S
Cape Coral FL 33990-2668
Phone: (888) 339-8727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 9445555 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN11028253 | Florida |
Profile Details
| NPI number | 1134847528 |
|---|---|
| LBN Legal business name | Kelly, Jordan Lacey |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2022 |
| Last updated | Oct 13th, 2023 - about last year |
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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