Shaun Michelle Jordan, REGISTERED NURSE | |
3633 Martin Luther King Jr Blvd Ste 3, Lynwood, CA 90262-3510 | |
(310) 763-3075 | |
(310) 763-3084 |
Full Name | Shaun Michelle Jordan |
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Gender | Female |
Speciality | Registered Nurse - Obstetric, Inpatient |
Location | 3633 Martin Luther King Jr Blvd Ste 3, Lynwood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245453372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0003X | Registered Nurse - Obstetric, Inpatient | RN417181 (California) | Primary |
Entity Name | St Johns Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
Mailing Address | Practice Location Address |
---|---|
Shaun Michelle Jordan, REGISTERED NURSE 19437 Tajauta Ave, Carson, CA 90746-2748 Ph: (310) 638-1287 | Shaun Michelle Jordan, REGISTERED NURSE 3633 Martin Luther King Jr Blvd Ste 3, Lynwood, CA 90262-3510 Ph: (310) 763-3075 |
Nakia Renee Simon, Registered Nurse Medicare: Medicare Enrolled Practice Location: 2640 Industry Way, Lynwood, CA 90262 Phone: 310-627-4525 | |
Nadezhda Davis, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2640 Industry Way, Lynwood, CA 90262 Phone: 310-627-4525 | |
Anna Marie Bayya, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8210 | |
Francisco Lopez Lim, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8210 | |
Dahlma A Ogundipe, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3628 E. Imperial Hwy, Ste 200, Lynwood, CA 90262 Phone: 310-603-2345 | |
Joanne Blair-randolph, Registered Nurse Medicare: Medicare Enrolled Practice Location: 2640 Industry Way, Lynwood, CA 90262 Phone: 310-627-4525 |