Ivelisse Jourdain, is a
Licensed Vocational Nurse based in Azusa, California. Ivelisse Jourdain is licensed to practice in California (license number 707796) and her current practice location is
474 S Citrus Ave, Azusa, California. She can be reached at her office (for appointments etc.) via phone at
(626) 858-9500.
NPI number for Ivelisse Jourdain is 1295406528 and her current mailing address is 474 S Citrus Ave, Azusa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295406528.
Provider's Profile
| Full Name | Ivelisse Jourdain |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 474 S Citrus Ave, Azusa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295406528
- Provider Enumeration Date: 09/27/2021
- Last Update Date: 09/27/2021
Medical Identifiers
Medical identifiers for Ivelisse Jourdain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295406528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 707796 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivelisse Jourdain is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivelisse Jourdain,
474 S Citrus Ave,
Azusa, CA 91702-4733
Ph: (626) 858-9500 | Ivelisse Jourdain,
474 S Citrus Ave,
Azusa, CA 91702-4733
Ph: (626) 858-9500 |
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