Individual provider · Type 1 NPI
Nicole Jordan
Peer Specialist · Stockbridge, GA
NPI number
1073479226
Active
Practice location
301 Rugged Creek Dr
Stockbridge, GA 30281-4570
Fax (678) 782-3479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
| Behavior Technician | 106S00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
About NPI 1073479226
Nicole Jordan's National Provider Identifier is 1073479226, issued on Dec 31, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockbridge, GA. The record was last updated on Sep 1, 2026.