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Contact Information

AMANDA R JORDAN, RN, IBCLC
277 MOUNT PLEASANT AVE
WALLINGTON, NJ07057-2001
 Phone: 845-558-9281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for AMANDA R JORDAN · (Female)

NPI # 1386461721
Status Active
Credentials RN, IBCLC
Entity Individual
Enumeration date 09/25/2024
Last updated 09/25/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 689755
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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