National Provider Identifier

Nicole Jordan

Nicole Jordan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 642-7741.

NPI 1154863702Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1154863702
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 14, 2016
Last Updated
November 14, 2016

Practice Location

  • 478 Lexington Ave
  • Rochester, NY 14613-1943

Phone: (585) 642-7741

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1154863702
Entity Type
Individual
Last Name
Jordan
First Name
Nicole
Mailing Street Address
478 Lexington Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-1943
Mailing Country
US
Mailing Phone
(585) 642-7741
Practice Street Address
478 Lexington Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-1943
Practice Country
US
Practice Phone
(585) 642-7741
Enumeration Date
November 14, 2016
Last Updated
November 14, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)