Individual provider · Type 1 NPI

Jordin Shelley Roden-Foreman, DO

Student in an Organized Health Care Education/Training Program · Warren, MI

NPI number 1174374516 Active

Practice location

12000 E 12 Mile Rd
Warren, MI 48093-3570

Call (248) 546-2600 Map

Mailing address

11800 E 12 Mile Rd
Warren, MI 48093-3472

Other practice locations

  • 3500 Gaston Ave, Dallas, TX 75246-2088 · (214) 820-2362

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174374516

Jordin Shelley Roden-Foreman, DO's National Provider Identifier is 1174374516, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on Sep 1, 2025.