| Nixia Jordan, DC | |
|
9208 Jamaica Ave., Woodhaven, NY 11421 | |
| (718) 577-0127 | |
| Not Available |
| Full Name | Nixia Jordan |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 9208 Jamaica Ave., Woodhaven, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316494933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X)12851 (New York) | Primary |
| Provider Name | Jordan Chiropractic Jordan Spine Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063269264 PECOS PAC ID: 4880137835 Enrollment ID: O20240618002563 |
| Mailing Address | Practice Location Address |
|---|---|
| Nixia Jordan, DC 92-08 Jamaica Avenue, Queens, NY 11421 Ph: (718) 577-0127 | Nixia Jordan, DC 9208 Jamaica Ave., Woodhaven, NY 11421 Ph: (718) 577-0127 |
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