NPI 1639564313 · live from the CMS NPI Registry
Judy Ann Jordan, rn
Registered Nurse, Psych/Mental Health, Adult in Kansas City, MO. National Provider Identifier 1639564313, active.
NPI record
| NPI | 1639564313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 7321 Nw 79th St, Kansas City, MO 64152 |
| Practice phone | 816-853-9354 |
| Mailing address | 2205 W 36th Ave, Kansas City, KS 66103 |
| Enumerated | March 31, 2015 |
| Last updated | March 31, 2015 |
| Sole proprietor | No |
| Other names | Judy Lyles |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2010024055 (MO) |
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 14-130459-062 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.