Provider Demographics
NPI:1013722313
Name:HARPER, JORDAN CHRISTINE DELVALLE (AA, BA (IN MAY))
Entity type:Individual
Prefix:MISS
First Name:JORDAN
Middle Name:CHRISTINE DELVALLE
Last Name:HARPER
Suffix:
Gender:F
Credentials:AA, BA (IN MAY)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 COBBLESTONE DR APT G
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7212
Mailing Address - Country:US
Mailing Address - Phone:209-256-6626
Mailing Address - Fax:
Practice Address - Street 1:3211 COHASSET RD STE 130
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-5403
Practice Address - Country:US
Practice Address - Phone:530-552-4931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker