Jordan Norman, LPN

Individual provider Active NPI Licensed Practical Nurse · Castalia, OH

NPI 1689409971 · NPPES record last updated Sep 5, 2024

Key facts

NPI
1689409971
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.187795 (OH)
Practice address
4317 St RT 269 S
Castalia, OH 44824-9354
Phone
(567) 290-2658
Fax
(567) 246-2424
NPI assigned
Sep 5, 2024
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
LPN.187795OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.187795 OH Yes

Addresses

Primary practice location

4317 St RT 269 S
Castalia, OH 44824-9354

Mailing address

PO Box 337
Sandusky, OH 44871-0337
Phone (567) 290-2658

Other providers in Castalia, OH

All providers in Castalia, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.