Amy Jordan, is a
Psychologist - School based in New London, Wisconsin. Amy Jordan is licensed to practice in * (Not Available) (license number ) and her current practice location is
N2767 Shady Acre Dr, New London, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 982-0147.
NPI number for Amy Jordan is 1679224133 and her current mailing address is N2767 Shady Acre Dr, New London, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679224133.
Healthcare Provider's Profile
Full Name | Amy Jordan |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | N2767 Shady Acre Dr, New London, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679224133
- Provider Enumeration Date: 01/15/2022
- Last Update Date: 01/15/2022
Medical Identifiers
Medical identifiers for Amy Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679224133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (* (Not Available)) | 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. Amy 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 |
Amy Jordan, N2767 Shady Acre Dr, New London, WI 54961-9136 Ph: (920) 982-0147 | Amy Jordan, N2767 Shady Acre Dr, New London, WI 54961-9136 Ph: (920) 982-0147 |
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