National Provider Identifier Database

CHARONDA K JORDAN
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

CHARONDA K JORDAN
3803 S 79TH EAST AVE # 100
TULSA, OK74145-3218
Phone: 918-630-5746
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for CHARONDA K JORDAN

NPI Number 1003452723
Credentials
Entity Individual
Enumeration date 11/18/2019
Last updated 05/24/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 37P026710818
Hospital affiliation n/a

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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