National Provider Identifier
Sha'Vonna M Jordan, RN
Sha'Vonna M Jordan, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (171) 699-0608.
Profile Overview
- NPI
- 1861748097
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- July 25, 2012
- Last Updated
- April 29, 2021
Practice Location
- 274 Millicent Ave
- Buffalo, NY 14215-2985
Phone: (171) 699-0608
Mailing Address
- 458 24Th St
- Niagara Falls, NY 14303-1844
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1861748097
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Sha'Vonna
- Middle Name
- M
- Credential
- RN
- Mailing Street Address
- 458 24Th St
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14303-1844
- Mailing Country
- US
- Mailing Phone
- (716) 990-6084
- Practice Street Address
- 274 Millicent Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2985
- Practice Country
- US
- Practice Phone
- (171) 699-0608
- Enumeration Date
- July 25, 2012
- Last Updated
- April 29, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 29, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)