Yvonne Marie Jordan, LPN is a
Licensed Practical Nurse based in Depauville, New York. Yvonne Marie Jordan is licensed to practice in New York (license number 170055) and her current practice location is
32413 Ny Rte. 12, Depauville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 686-2989.
NPI number for Yvonne Marie Jordan is 1033461256 and her current mailing address is Po Box 31, Depauville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033461256.
Provider's Profile
| Full Name | Yvonne Marie Jordan |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 32413 Ny Rte. 12, Depauville, New York |
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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: 1033461256
- Provider Enumeration Date: 10/11/2012
- Last Update Date: 10/11/2012
Medical Identifiers
Medical identifiers for Yvonne Marie Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033461256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 170055 (New York) | 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. Yvonne Marie Jordan 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 |
|---|
Yvonne Marie Jordan, LPN
Po Box 31,
Depauville, NY 13632-0031
Ph: (315) 686-2989 | Yvonne Marie Jordan, LPN
32413 Ny Rte. 12,
Depauville, NY 13632-0031
Ph: (315) 686-2989 |
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