LOGAN JEFFREY JORDAN RN NPI 1760258735

NPI Information

  • NPI: 1760258735
  • Provider Name: LOGAN JEFFREY JORDAN, RN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9105 CEDAR AVE
    CLEVELAND, OH
    ZIP 44106
  • Phone: (216) 445-4500

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NPI Details

Logan Jeffrey Jordan, RN is an adult health nurse practitioner in Cleveland, OH with 1 years of experience. Logan Jeffrey Jordan, RN NPI is 1760258735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9105 CEDAR AVE
CLEVELAND, OH
ZIP 44106-931
Phone: (216) 445-4500

The NPI 1760258735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2023 and was last updated on 6/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergencyRN.510002OHIONo
2363LA2200XNurse PractitionerAdult HealthAPRN.CNP.0035780OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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