Individual provider · Type 1 NPI

Erin Jordan

Student in an Organized Health Care Education/Training Program · Ronkonkoma, NY

NPI number 1376410605 Active

Practice location

62 Parkway Blvd
Ronkonkoma, NY 11779-4656

Call (631) 355-9704 Map

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 1376410605

Erin Jordan's National Provider Identifier is 1376410605, issued on Oct 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Oct 21, 2025.