Jordan Liddell, is a 
Specialist/technologist based in Oklahoma City, Oklahoma. Jordan Liddell is licensed to practice in Oklahoma (license number 375) and her current practice location is 
200 Nw 66th St Ste 925, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at 
(405) 286-3749.
NPI number for Jordan Liddell is 1629734017 and her current mailing address is 200 Nw 66th St Ste 925, Oklahoma City, Oklahoma. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629734017.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jordan Liddell | 
|---|
| Gender | Female | 
|---|
| Speciality | Specialist/technologist | 
|---|
| Location | 200 Nw 66th St Ste 925, Oklahoma City, Oklahoma | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1629734017
 - Provider Enumeration Date: 11/10/2021
 - Last Update Date: 09/12/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jordan Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1629734017 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 235Z00000X | Speech-language Pathologist  | 375 (Oklahoma) | Secondary | 
| 235500000X | Specialist/technologist  | 375 (Oklahoma) | 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 Liddell 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 Liddell, 200 Nw 66th St Ste 925, Oklahoma City, OK 73116-8227 Ph: (405) 286-3749 | Jordan Liddell, 200 Nw 66th St Ste 925, Oklahoma City, OK 73116-8227 Ph: (405) 286-3749 | 
		
		 
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