Individual
SHANELL ASHLEY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 422-4886
Mailing address
200 K ST NE APT 1140, WASHINGTON, DC 20002-3094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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