Active NPIIndividual providerSole proprietor

Amanda R Jordan, RN, IBCLC

Registered Nurse, Lactation Consultant in Wallington, New Jersey

NPI Number1386461721
Practice location
277 Mount Pleasant Ave, Wallington, NJ 07057-2001
Fax
—
Last updated
September 25, 2024

Amanda Rose Jordan is a Registered Nurse, Lactation Consultant based in Wallington, NJ. Amanda Rose Jordan practices in Wallington, NJ and has the professional credentials of RN, IBCLC. The NPI Number for Amanda Rose Jordan is 1386461721 and holds a License No. 689755 (NY). The current practice location address for Amanda Rose Jordan is 277 Mount Pleasant Ave, Wallington, NJ 07057-2001 and can be reached out via phone at 845-558-9281.

Provider Profile Details

NPI Number
1386461721
Provider Name
Amanda Rose Jordan
Credential
RN, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
277 Mount Pleasant Ave, Wallington, NJ 07057-2001
Phone Number
845-558-9281
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
Yes
Other Names
Amanda Rose Fernandez, RN, IBCLC (Former Name)
Provider Enumeration Date
September 25, 2024
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
277 Mount Pleasant Ave
Wallington, NJ 07057-2001
Zip
07057-2001
Phone Number
845-558-9281
Wallington, NJ 07057Get directions →

Provider Business Mailing Address Details

Address
277 Mount Pleasant Ave
Wallington, NJ 07057-2001
City
Wallington
State
NJ
Zip
07057-2001
Phone Number
845-558-9281

License Information

License Number (1)
689755
License State (1)
NY
License Number (2)
689755
License State (2)
NY
Taxonomy (2)
Registered Nurse, Lactation Consultant · 163WL0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda R Jordan, RN, IBCLC?

The NPI number of Amanda R Jordan, RN, IBCLC is 1386461721. It was assigned on September 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Amanda R Jordan, RN, IBCLC?

Amanda R Jordan, RN, IBCLC is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in NY under license number 689755.

Where does Amanda R Jordan, RN, IBCLC practice?

The practice location is 277 Mount Pleasant Ave, Wallington, NJ 07057-2001. The office can be reached at 845-558-9281 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386461721 directly on the NPPES registry website.

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