Individual provider · Type 1 NPI
Dorothy Henry Jordan, R.N., PMHCNS-BC
Psychiatric/Mental Health Clinical Nurse Specialist · Atlanta, GA
NPI number
1063644672
Active
Practice location
1920 Braircliff Road NE, Marcus Autism Center
Atlanta, GA 30329-4010
Fax (404) 785-9410
Mailing address
2194 Edison Ave NE
Atlanta, GA 30305-4309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN061785 (GA) |
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | RN061785 (GA) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1063644672
Dorothy Henry Jordan, R.N., PMHCNS-BC's National Provider Identifier is 1063644672, issued on Aug 14, 2009. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Atlanta, GA. The record was last updated on Oct 21, 2010.