Provider Demographics
NPI:1275801086
Name:SCHULTZ, JORDAN FRANCES (BA)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:FRANCES
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:FRANCES
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-0040
Mailing Address - Country:US
Mailing Address - Phone:970-945-2241
Mailing Address - Fax:970-945-5523
Practice Address - Street 1:360 PEAK ONE DR
Practice Address - Street 2:STE 110
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-668-3478
Practice Address - Fax:970-668-0632
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator