Kirby, Jordan S
Kirby, Jordan S is an individual health care provider with primary practice located at 1165 Imperial Dr Ste 300 , Hagerstown MD 21740-6556. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Kirby, Jordan S can be contacted via phone (301) 665-9098.Contact Information
Primary practice address
1165 Imperial Dr Ste 300
Hagerstown MD 21740-6556
Phone: (301) 665-9098
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Midwife | 176B00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | R211738 | Maryland |
Profile Details
NPI number | 1003407040 |
---|---|
LBN Legal business name | Kirby, Jordan S |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2021 |
Last updated | Oct 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003407040 | NPPES |
Maryland | MEDICAID | 650033100 | |
Maryland | MEDICAID | NA |
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