Provider Demographics
NPI:1841089083
Name:JORDAN, KARLEIGHA R (CMA)
Entity type:Individual
Prefix:
First Name:KARLEIGHA
Middle Name:R
Last Name:JORDAN
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 RED HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:OH
Mailing Address - Zip Code:45613-9794
Mailing Address - Country:US
Mailing Address - Phone:740-529-9871
Mailing Address - Fax:740-529-9871
Practice Address - Street 1:461 GRAVEL HILL RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:OH
Practice Address - Zip Code:45613-9425
Practice Address - Country:US
Practice Address - Phone:740-970-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker