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Contact Information

TYSHONNA D JORDAN
12318 BOYDTON PLANK RD.
DINWIDDIE, VA23841
 Phone: 804-504-9089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TYSHONNA D JORDAN · (Female)

NPI # 1225546153
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2018
Last updated 04/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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