Individual provider · Type 1 NPI

Star Jordan

Licensed Practical Nurse · Warren, MI

NPI number 1124948484 Active

Practice location

11587 Helen Dr
Warren, MI 48093-7602

Call (248) 472-6222 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703131646 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124948484

Star Jordan's National Provider Identifier is 1124948484, issued on Jul 17, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Warren, MI. The record was last updated on Jul 17, 2026.