Individual
JORDAN O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA
Contact information
Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109779300
—
FL
Enumeration date
11/15/2022
Last updated
11/15/2022
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