Provider Demographics
NPI:1306665609
Name:STANHOPE, JOURDAN (COMMUNITY LEADER)
Entity type:Individual
Prefix:MS
First Name:JOURDAN
Middle Name:
Last Name:STANHOPE
Suffix:
Gender:F
Credentials:COMMUNITY LEADER
Other - Prefix:MS
Other - First Name:JOURDAN
Other - Middle Name:
Other - Last Name:STANHOPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1518 MCNAUGHTEN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-1642
Mailing Address - Country:US
Mailing Address - Phone:614-907-5451
Mailing Address - Fax:
Practice Address - Street 1:1518 MCNAUGHTEN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-1642
Practice Address - Country:US
Practice Address - Phone:614-907-5451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator