| Mrs Terri Polito Jordan, ARNP, BC-GNP | |
| 
					846 N Cocoa Blvd, Suite A, Cocoa, FL 32922-7544  | |
| (321) 453-5535 | |
| Not Available | 
| Full Name | Mrs Terri Polito Jordan | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse | 
| Location | 846 N Cocoa Blvd, Cocoa, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700070695 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN 1705612 (Florida) | Primary | 
| Entity Name | Wound Technology Network, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Terri Polito Jordan, ARNP, BC-GNP 846 N Cocoa Blvd, Ste A Tehc Health Care, Cocoa, FL 32922-7544 Ph: (321) 453-5535  | Mrs Terri Polito Jordan, ARNP, BC-GNP 846 N Cocoa Blvd, Suite A, Cocoa, FL 32922-7544 Ph: (321) 453-5535  | 
Sharon A Jones, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 515 Dryden Cir, Cocoa, FL 32926 Phone: 321-223-5513  | |
Natasha Mack Caldwell, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 576 W King St, Cocoa, FL 32922 Phone: 321-987-0472  | |
Stacie N/a Gould,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6401 Dane Ave, Cocoa, FL 32927 Phone: 607-244-9270  | |
Ms. Kelli Michelle Strobel, RNFA, CNOR, ONC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4405 Indian River Dr, Cocoa, FL 32927 Phone: 321-637-0553 Fax: 321-637-0553  | |
Amber White, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5741 Cinnamon Fern Blvd, Cocoa, FL 32927 Phone: 321-749-4134  | |
Lisa S Rhynes-partlow, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1550 King St, Cocoa, FL 32926 Phone: 407-963-4041 Fax: 321-338-2985  |