Jordan, Keshia Nichole

Jordan, Keshia Nichole is an individual health care provider with primary practice located at 3515 Siaron Way , Hamilton OH 45011-2684. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jordan, Keshia Nichole can be contacted via phone (513) 278-8141.

Contact Information

Primary practice address
3515 Siaron Way Hamilton OH 45011-2684
Phone: (513) 278-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X APRN.CNP.14076 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.14076-NP Ohio

Profile Details

NPI number 1568706307
LBN Legal business name Jordan, Keshia Nichole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2012
Last updated Mar 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568706307 NPPES
Ohio MEDICAID 0084490

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