Stephanie Roxanne Jordan, EDS is a
Psychologist - School based in Vancleave, Mississippi. Stephanie Roxanne Jordan is licensed to practice in Mississippi (license number 189317) and her current practice location is
10280 Maple Cv, Vancleave, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 238-2394.
NPI number for Stephanie Roxanne Jordan is 1326891235 and her current mailing address is 10280 Maple Cv, Vancleave, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326891235.
Healthcare Provider's Profile
Full Name | Stephanie Roxanne Jordan |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 10280 Maple Cv, Vancleave, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326891235
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 04/09/2024
Medical Identifiers
Medical identifiers for Stephanie Roxanne Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326891235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 189317 (Mississippi) | 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. Stephanie Roxanne 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 |
Stephanie Roxanne Jordan, EDS 10280 Maple Cv, Vancleave, MS 39565-6596 Ph: (228) 238-2394 | Stephanie Roxanne Jordan, EDS 10280 Maple Cv, Vancleave, MS 39565-6596 Ph: (228) 238-2394 |
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