Provider Demographics
NPI:1477823193
Name:ARBELAEZ, JORDAN R (DNP, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:R
Last Name:ARBELAEZ
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ROMAINE AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5604
Mailing Address - Country:US
Mailing Address - Phone:804-467-3933
Mailing Address - Fax:
Practice Address - Street 1:26 ROMAINE AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5604
Practice Address - Country:US
Practice Address - Phone:804-467-3933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405007363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health