Jordan Conklin, is a
Registered Nurse - Continuing Education/staff Development based in Terryville, Connecticut. Jordan Conklin is licensed to practice in Connecticut (license number 216284) and her current practice location is
3 Fountainhead Rd, Terryville, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 480-0477.
NPI number for Jordan Conklin is 1811814338 and her current mailing address is 3 Fountainhead Rd, Terryville, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811814338.
Provider's Profile
| Full Name | Jordan Conklin |
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| Gender | Female |
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| Speciality | Registered Nurse - Continuing Education/staff Development |
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| Location | 3 Fountainhead Rd, Terryville, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811814338
- Provider Enumeration Date: 07/06/2026
- Last Update Date: 07/06/2026
Medical Identifiers
Medical identifiers for Jordan Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811814338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WC1600X | Registered Nurse - Continuing Education/staff Development | 216284 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Conklin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan Conklin, 3 Fountainhead Rd, Terryville, CT 06786-4422 Ph: (860) 480-0477 | Jordan Conklin, 3 Fountainhead Rd, Terryville, CT 06786-4422 Ph: (860) 480-0477 |
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