Provider Demographics
NPI:1194550459
Name:BARTON, JORDAN CHRISTINA
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:CHRISTINA
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:CHRISTINA
Other - Last Name:DIZON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CD
Mailing Address - Street 1:120 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:MOUNT ROYAL
Mailing Address - State:NJ
Mailing Address - Zip Code:08061-1035
Mailing Address - Country:US
Mailing Address - Phone:856-214-1442
Mailing Address - Fax:
Practice Address - Street 1:120 KINGS HWY
Practice Address - Street 2:
Practice Address - City:MOUNT ROYAL
Practice Address - State:NJ
Practice Address - Zip Code:08061-1035
Practice Address - Country:US
Practice Address - Phone:856-214-1442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula