Jordan, Sheila S

Jordan, Sheila S is an individual health care provider with primary practice located at 950 Washington Blvd , Beaumont TX 77705-2251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jordan, Sheila S can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
950 Washington Blvd Beaumont TX 77705-2251
Phone: (409) 772-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 554840 Texas

Profile Details

NPI number 1205996675
LBN Legal business name Jordan, Sheila S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 2nd, 2009 - about 17 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 1205996675 NPPES
Texas MEDICAID 124028505

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