| Ashley Jordan, RN | |
| 
					5215 Us 1, Mims, FL 32754-4822  | |
| (321) 225-9308 | |
| Not Available | 
| Full Name | Ashley Jordan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5215 Us 1, Mims, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528842515 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9517130 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN11028679 (Florida) | Primary | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ashley Jordan, RN 5215 Us 1, Mims, FL 32754-4822 Ph: () -  | Ashley Jordan, RN 5215 Us 1, Mims, FL 32754-4822 Ph: (321) 225-9308  | 
Mrs. Stacie Ann Kittman,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10381 Air Plant Cir, Mims, FL 32754 Phone: 407-443-4309 Fax: 407-349-5295  | |
Danielle Lehan,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3219 Pheasant Trl, Mims, FL 32754 Phone: 321-720-4594  | |
Brianne Ward,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Kloss St, Mims, FL 32754 Phone: 321-544-7856  |