Provider Demographics
NPI:1225357528
Name:JORDAN, ABBY M (BS)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:M
Last Name:JORDAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12842 WOODMIL DRIVE
Mailing Address - Street 2:12842
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418
Mailing Address - Country:US
Mailing Address - Phone:561-351-8373
Mailing Address - Fax:
Practice Address - Street 1:12842 WOODMILL DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-8943
Practice Address - Country:US
Practice Address - Phone:561-351-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker