Provider Demographics
NPI:1366225153
Name:JORDAN, SHERI
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 W 93RD ST APT 304
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-3781
Mailing Address - Country:US
Mailing Address - Phone:216-640-0978
Mailing Address - Fax:
Practice Address - Street 1:2201 W 93RD ST APT 304
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-3781
Practice Address - Country:US
Practice Address - Phone:216-640-0978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health