Markita Jordan
Individual provider Active NPI Adult Care Home Facility · Purvis, MS
NPI 1972337533 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1972337533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Practice address
- 9 Ted LN
Purvis, MS 39475-7800 - Phone
- (601) 402-6953
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
9 Ted LN
Purvis, MS 39475-7800
Mailing address
9 Ted LN
Purvis, MS 39475-7800
Phone (601) 402-6953
Other providers in Purvis, MS
- Josalin Jackson
- James W. Moore, III
- Johns' Discount Drugs, Inc.
- Johnson Diagnostic LLC
- Melinda Kay Jones
- Kristina Keown
- Garland W King Jr.
- Lamar County School Clinic
- Lamar County School District
- Lamar County School District
All providers in Purvis, MS · Adult Care Home Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.