IndividualActive
Jermaine Jordan, STNA
NPI 1104368240 · Assisted Living Facility (Behavioral Disturbances) · Sanford, FL
Provider details
- NPI number
- 1104368240
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Credential
- STNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- CNA312402 (FL)
Mailing address
1210 Retreat View Cir
Sanford, FL 32771-7276
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.