Individual provider · Type 1 NPI

Ivy Justine Jordan, L.P.N.

Licensed Practical Nurse · Canton, OH

NPI number 1336343318 Active

Practice location

105 Wertz Ave NW Apt 7
Canton, OH 44708-4100

Call (330) 452-1539 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 106915 (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 1336343318

Ivy Justine Jordan, L.P.N.'s National Provider Identifier is 1336343318, issued on Jun 13, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, OH. The record was last updated on Jan 11, 2011.