Provider Demographics
NPI:1821788308
Name:JORDAN, YASMIN
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YASMIN
Other - Middle Name:
Other - Last Name:SECADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 PINEHURST AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1701
Mailing Address - Country:US
Mailing Address - Phone:646-584-2013
Mailing Address - Fax:
Practice Address - Street 1:90 PINEHURST AVE APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1701
Practice Address - Country:US
Practice Address - Phone:646-584-2013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty