Maureen Jordan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN12730 Issued in ME

Practice address

689 Odlin Rd
Bangor, ME 04401-6709

Phone

(207) 947-6800

Fax

(207) 947-6872

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Discovery House BR, Inc.

  • Methadone Clinic
  • Bangor, ME
  • NPI 1285827527
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1043968076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 ODLIN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016709",
            "telephone_number": "207-947-6800",
            "fax_number": "207-947-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 ODLIN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016709",
            "telephone_number": "207-947-6800",
            "fax_number": "207-947-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ME",
            "license": "LPN12730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "electronic",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "689 Odlin Rd",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044016709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Whitney A Jones, DMD
• Adam Jordan, PHARM D
• Cherry M Jordan, LADC, CCS, MHRT/C
• Eben A Jordan, PAC
• Jeffrey Jay Jordan, MD
• Michael Richard Jordan
• Sharon Mae Jordan, LCSW
• Joseph L Benoit M D P a
• Joseph M. Constantine
• Dharmesh Joshi, PHARMD

• All providers in Bangor, ME
• Licensed Practical Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.