IndividualActive
Shea Jordan, RN
NPI 1114654712 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Spartanburg, SC
Provider details
- NPI number
- 1114654712
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 228850 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
250 Dewey Ave
Spartanburg, SC 29303-3009
Phone: (864) 585-0366
Approximate (ZIP-level) locationGet directions
Mailing address
250 Dewey Ave
Spartanburg, SC 29303-3009
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.