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Carllisa Jordan — NPI 1386573251, Indian Head, MD | NPI Central

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NPI 1386573251

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Carllisa Jordan

NPI 1386573251 · Community Health Worker · Indian Head, MD

Provider details

NPI number: 1386573251
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Practice location

5234 Red Hill Dr

Indian Head, MD 20640-3401

Phone: (301) 752-5852

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

5234 Red Hill Dr

Indian Head, MD 20640-3401

Registry dates

Enumerated: 2026-05-18
Last updated: 2026-05-18
Certified: 2026-05-17

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