National Provider Identifier
Shamya M Jordan
Shamya M Jordan is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 406-6720.
Profile Overview
- NPI
- 1336610740
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 10, 2018
- Last Updated
- October 11, 2023
Practice Location
- 48 Evangeline St
- Rochester, NY 14619-2034
Phone: (585) 406-6720
Specialties
- Registered Nurse (163W00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1336610740
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Shamya
- Middle Name
- M
- Mailing Street Address
- 48 Evangeline St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2034
- Mailing Country
- US
- Mailing Phone
- (585) 406-6720
- Practice Street Address
- 48 Evangeline St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2034
- Practice Country
- US
- Practice Phone
- (585) 406-6720
- Enumeration Date
- December 10, 2018
- Last Updated
- October 11, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Licensed Practical Nurse (164W00000X)