Provider Demographics
NPI:1033741988
Name:JOURDAIN, SHEILA O (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:O
Last Name:JOURDAIN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 KUTZTOWN RD # 8
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1575
Mailing Address - Country:US
Mailing Address - Phone:484-347-6648
Mailing Address - Fax:484-339-3949
Practice Address - Street 1:4917 KUTZTOWN RD # 8
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:PA
Practice Address - Zip Code:19560-1575
Practice Address - Country:US
Practice Address - Phone:484-347-6648
Practice Address - Fax:484-336-3649
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-09
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021416363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health