Provider Demographics
NPI:1013757178
Name:MEIER, JORDAN (IHP2, BCHHP)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:
Last Name:MEIER
Suffix:
Gender:
Credentials:IHP2, BCHHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 LICK RUN XING
Mailing Address - Street 2:
Mailing Address - City:STEPHENSON
Mailing Address - State:VA
Mailing Address - Zip Code:22656-2023
Mailing Address - Country:US
Mailing Address - Phone:540-539-5552
Mailing Address - Fax:
Practice Address - Street 1:274 LICK RUN XING
Practice Address - Street 2:
Practice Address - City:STEPHENSON
Practice Address - State:VA
Practice Address - Zip Code:22656-2023
Practice Address - Country:US
Practice Address - Phone:540-539-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA274164404171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty