Individual
MRS. JORDAN NICOLE HAISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NRAEMT, CAPS, MCP
Contact information
Practice address
201 W ROOSEVELT ST, MUNCIE, IN 47303-1865
(765) 228-8035
Mailing address
201 W ROOSEVELT ST, MUNCIE, IN 47303-1865
(765) 228-8035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
146M00000X
Intermediate Emergency Medical Technician
3089-0062
IN
225C00000X
Rehabilitation Counselor
—
IN
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
IN
246Y00000X
Health Information Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
10/09/2025
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