Kaylee Christine Jordan

Individual provider Active NPI Licensed Vocational Nurse · Coldspring, TX

NPI 1306448832 · NPPES record last updated Nov 10, 2020

Key facts

NPI
1306448832
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
351066 (TX)
Practice address
2150 FM 222 Loop N
Coldspring, TX 77331-7328
Phone
(832) 401-9840
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
351066TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 351066 TX Yes

Addresses

Primary practice location

2150 FM 222 Loop N
Coldspring, TX 77331-7328

Mailing address

1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035
Phone (713) 799-2200

Other providers in Coldspring, TX

All providers in Coldspring, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.