National Provider Identifier
Lisa Marie Jordan
Lisa Marie 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) 865-1550.
Profile Overview
- NPI
- 1740913995
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 06, 2022
- Last Updated
- July 06, 2022
Practice Location
- 3300 Dewey Ave
- Rochester, NY 14616-3741
Phone: (585) 865-1550
Mailing Address
- 114 Oakbriar Ct Apt 24
- Penfield, NY 14526-2672
Specialties
- Licensed Practical Nurse (164W00000X)
Endpoints
- Lisa.Jordan@villaofhope.org
Direct Messaging Address | Health Information Exchange (Hie) | Csv | Rochester, NY 14616
Full Record
- NPI
- 1740913995
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Lisa
- Middle Name
- Marie
- Mailing Street Address
- 114 Oakbriar Ct Apt 24
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2672
- Mailing Country
- US
- Mailing Phone
- (585) 278-2110
- Practice Street Address
- 3300 Dewey Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3741
- Practice Country
- US
- Practice Phone
- (585) 865-1550
- Enumeration Date
- July 06, 2022
- Last Updated
- July 06, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)