Provider Demographics
NPI:1689072399
Name:JORDISON, LINZEY (CFA)
Entity Type:Individual
Prefix:
First Name:LINZEY
Middle Name:
Last Name:JORDISON
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6439 W DAVIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-5727
Mailing Address - Country:US
Mailing Address - Phone:801-815-5558
Mailing Address - Fax:
Practice Address - Street 1:6439 W DAVIN VIEW DR
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-5727
Practice Address - Country:US
Practice Address - Phone:801-815-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant