Individual
MRS. CHEVELLE R JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
239 CASCADE BEND DR, RUSKIN, FL 33570-6396
(866) 757-5858
(866) 757-5858
Mailing address
235 APOLLO BEACH BLVD # 182, APOLLO BEACH, FL 33572-2251
(866) 757-5858
(866) 757-5858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9402527
FL
163WC0400X
Case Management Registered Nurse
RN9402527
FL
163WC2100X
Continence Care Registered Nurse
RN9402527
FL
163WG0000X
General Practice Registered Nurse
Primary
RN9402527
FL
163WH0200X
Home Health Registered Nurse
RN9402527
FL
163WH1000X
Hospice Registered Nurse
RN9402527
FL
163WU0100X
Urology Registered Nurse
RN9402527
FL
163WW0000X
Wound Care Registered Nurse
RN9402527
FL
163WX1500X
Ostomy Care Registered Nurse
RN9402527
FL
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/17/2020
Last updated
01/26/2022
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