Jerome Jordan Sr, CNP | |
1205 Broadway, Lorain, OH 44052-3409 | |
(769) 610-2804 | |
Not Available |
Full Name | Jerome Jordan Sr |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1205 Broadway, Lorain, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992560809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP.0035744 (Ohio) | Primary |
Entity Name | Lorain County Health & Dentistry |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215194527 PECOS PAC ID: 9234047853 Enrollment ID: O20031105000774 |
Mailing Address | Practice Location Address |
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Jerome Jordan Sr, CNP 12303 Cedar Rd Apt 135, Cleveland Heights, OH 44106-3174 Ph: (769) 610-2804 | Jerome Jordan Sr, CNP 1205 Broadway, Lorain, OH 44052-3409 Ph: (769) 610-2804 |
Kaitlin Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053 Phone: 440-204-5700 | |
Rita Susec, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053 Phone: 440-222-4003 Fax: 440-960-4922 | |
Ms. Kimberly Jean Bundridge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053 Phone: 440-934-1458 Fax: 440-960-4922 | |
Olabisi Alabi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053 Phone: 440-506-9961 | |
Megan Toth, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 | |
Kimberly Michelle Gilbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-5552 Fax: 440-204-4383 | |
Ms. Ann Lise Scarbrough, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3288 Oberlin Ave, Lorain, OH 44053 Phone: 866-389-2727 |