National Provider Identifier
La Tasha Michelle Jordan
La Tasha Michelle Jordan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 903-6088.
Profile Overview
- NPI
- 1821424037
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 19, 2013
- Last Updated
- September 19, 2013
Practice Location
- 7 Floreis Ct Apt 2
- Cheektowaga, NY 14225-2622
Phone: (716) 903-6088
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1821424037
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- La Tasha
- Middle Name
- Michelle
- Name Prefix
- MS.
- Mailing Street Address
- 7 Floreis Ct Apt 2
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2622
- Mailing Country
- US
- Mailing Phone
- (716) 903-6088
- Practice Street Address
- 7 Floreis Ct Apt 2
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2622
- Practice Country
- US
- Practice Phone
- (716) 903-6088
- Enumeration Date
- September 19, 2013
- Last Updated
- September 19, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)