Mrs Terri Polito Jordan, ARNP, BC-GNP | |
846 N Cocoa Blvd, Suite A, Cocoa, FL 32922-7544 | |
(321) 453-5535 | |
Not Available |
Full Name | Mrs Terri Polito Jordan |
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Gender | Female |
Speciality | Registered Nurse |
Location | 846 N Cocoa Blvd, Cocoa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700070695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN 1705612 (Florida) | Primary |
Entity Name | Wound Technology Network, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626 |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160415001082 |
Mailing Address | Practice Location Address |
---|---|
Mrs Terri Polito Jordan, ARNP, BC-GNP 846 N Cocoa Blvd, Ste A Tehc Health Care, Cocoa, FL 32922-7544 Ph: (321) 453-5535 | Mrs Terri Polito Jordan, ARNP, BC-GNP 846 N Cocoa Blvd, Suite A, Cocoa, FL 32922-7544 Ph: (321) 453-5535 |
Mrs. Alexa Noelle Reedy, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 2488 Bonny Dr, Cocoa, FL 32926 Phone: 321-482-6967 | |
Sharon A Jones, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 515 Dryden Cir, Cocoa, FL 32926 Phone: 321-223-5513 | |
Natasha Mack Caldwell, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 576 W King St, Cocoa, FL 32922 Phone: 321-987-0472 | |
Stacie N/a Gould, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6401 Dane Ave, Cocoa, FL 32927 Phone: 607-244-9270 | |
Heather Rebecca Markow, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5635 Fay Blvd, Cocoa, FL 32927 Phone: 321-750-4477 | |
Ms. Kelli Michelle Strobel, RNFA, CNOR, ONC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4405 Indian River Dr, Cocoa, FL 32927 Phone: 321-637-0553 Fax: 321-637-0553 |