Jordan Blaine, | |
4900 E Chapman Ave Unit 103, Orange, CA 92869-4140 | |
(323) 365-6312 | |
Not Available |
Full Name | Jordan Blaine |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4900 E Chapman Ave Unit 103, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093171480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95014481 (California) | Primary |
Entity Name | Inspire Psychiatric Nursing Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649788472 PECOS PAC ID: 7012278625 Enrollment ID: O20180222001263 |
Entity Name | Thomas Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659972099 PECOS PAC ID: 1355748021 Enrollment ID: O20210922002229 |
Mailing Address | Practice Location Address |
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Jordan Blaine, 4900 E Chapman Ave Unit 103, Orange, CA 92869-4140 Ph: (323) 365-6312 | Jordan Blaine, 4900 E Chapman Ave Unit 103, Orange, CA 92869-4140 Ph: (323) 365-6312 |
Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277 | |
Sarah Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8000 | |
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763 | |
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715 | |
Anna Katrina Cruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300 | |
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459 | |
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |