Individual provider · Type 1 NPI

Lisa Denise Jordan, R.N.

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Jonesboro, GA

NPI number 1134421415 Active

About NPI 1134421415

Lisa Denise Jordan, R.N.'s National Provider Identifier is 1134421415, issued on Nov 19, 2010. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Jonesboro, GA. The record was last updated on Nov 19, 2010.