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Lisa Jordan — NPI 1265909055, Stockton, CA | NPI Central

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NPI 1265909055

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Lisa Jordan

NPI 1265909055 · Prevention Professional · Stockton, CA

Provider details

NPI number: 1265909055
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Sex: Female
Sole proprietor: No
License: 0 (CA)

Specialties & taxonomies

Prevention ProfessionalPrimary405300000XLicense 0 (CA)
Other Service Providers

Practice location

430 N Pilgrim St

Stockton, CA 95205-4428

Phone: (209) 466-0853

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

430 N Pilgrim St

Stockton, CA 95205-4428

Registry dates

Enumerated: 2018-10-30
Last updated: 2018-10-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.