Kelly, Jordan Lacey

Kelly, Jordan Lacey is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Kelly, Jordan Lacey can be contacted via phone (888) 339-8727.

Contact Information

Primary practice address
636 Del Prado Blvd S Cape Coral FL 33990-2668
Phone: (888) 339-8727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9445555 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11028253 Florida

Profile Details

NPI number 1134847528
LBN Legal business name Kelly, Jordan Lacey
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2022
Last updated Oct 13th, 2023 - about 3 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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