Sheila Renee Jordan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN260912L Issued in PA

Practice address

14714 Park Avenue Ext
Meadville, PA 16335-9400

Phone

(814) 337-4228

NPI assigned

Sep 3, 2008

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

Other names 1

• Sheila Renee Mailliard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1184872111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 IROQUOIS RD",
            "city": "CONNEAUT LAKE",
            "state": "PA",
            "postal_code": "163163236",
            "telephone_number": "814-547-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14714 PARK AVENUE EXT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163359400",
            "telephone_number": "814-337-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHEILA",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN260912L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MAILLIARD",
            "middle_name": "RENEE",
            "credential": "LPN, CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Audrey Johnson, MD
• Emily Ann Johnson, ATC
• Marie Lynn Johnson, PA-C
• Michele Johnston, LPC
• Samantha Jones
• Helen Judge, M.D.
• Brian J. Karlovits, D.O.
• Jeffry Lynn Karns, CRNA
• Benjamin Kasemer, LSW
• Katherine L. Bailey M.Ed. Licensed Psychologist Inc.

• Licensed Practical Nurse in Meadville, PA
• Providers in Meadville, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.