Individual provider · Type 1 NPI

Eboni Danyale Jordan

Licensed Practical Nurse · Cleveland, OH

NPI number 1164827705 Active

Practice location

3143 East 99th
Cleveland, OH 44104

Mailing address

3143 E 99th St
Cleveland, OH 44104-5322

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X153123 (OH)

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 1164827705

Eboni Danyale Jordan's National Provider Identifier is 1164827705, issued on Oct 24, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on Oct 24, 2014.