Provider Demographics
NPI:1285333179
Name:GIRARD, JORDAN EVETTE (BSW)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:EVETTE
Last Name:GIRARD
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:MISS
Other - First Name:JORDAN
Other - Middle Name:EVETTE
Other - Last Name:EFIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 PERSIMMON LN
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-6096
Mailing Address - Country:US
Mailing Address - Phone:828-380-0789
Mailing Address - Fax:
Practice Address - Street 1:25 PERSIMMON LN
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-6096
Practice Address - Country:US
Practice Address - Phone:828-380-0789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker