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Contact Information

TIWANA L JORDAN
2139 CHESTERFIELD LOOP
CHESAPEAKE, VA23323
 Phone: 757-773-3568
 Fax: 757-966-9455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for TIWANA L JORDAN · (Female)

NPI Number 1417413444
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2019
Last updated 02/14/2019 - About 7 years ago
Sole proprietor 1 Yes
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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