| 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 |