Individual
TYKEISHA RENEE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIM
Contact information
Practice address
13702 COURSEY BLVD STE 5A, BATON ROUGE, LA 70817-1370
(225) 678-0492
Mailing address
13702 COURSEY BLVD STE 5A, BATON ROUGE, LA 70817-1370
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
175M00000X
Lay Midwife
Primary
—
LA
374J00000X
Doula
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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