National Provider Identifier
Jordan Smith, LPN
Jordan Smith, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Marion, NY and a listed phone number of (315) 690-1217.
Profile Overview
- NPI
- 1235656919
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 24, 2017
- Last Updated
- August 24, 2017
Practice Location
- 3957 Dean RD
- Marion, NY 14505
Phone: (315) 690-1217
Mailing Address
- 3957 Dean RD
- Marion, NY 14505-9637
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1235656919
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Jordan
- Credential
- LPN
- Mailing Street Address
- 3957 Dean RD
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-9637
- Mailing Country
- US
- Practice Street Address
- 3957 Dean RD
- Practice City
- Marion
- Practice State
- NY
- Practice ZIP Code
- 14505
- Practice Country
- US
- Practice Phone
- (315) 690-1217
- Enumeration Date
- August 24, 2017
- Last Updated
- August 24, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)