IndividualActive
Jeanique Jordan
NPI 1316755358 · Emergency Registered Nurse · New Hyde Park, NY
Provider details
- NPI number
- 1316755358
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 814550 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-7310
Approximate (ZIP-level) locationGet directions
Mailing address
12111 196th St # 2
Springfield Gardens, NY 11413-1138
Registry dates
- Enumerated
- 2024-12-23
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.