Provider Demographics
NPI:1720721376
Name:SNEAD, JORDAN T (CRNP)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:T
Last Name:SNEAD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:TAYLOR
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5150 CENTRE AVE STE 4E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1309
Mailing Address - Country:US
Mailing Address - Phone:412-692-2852
Mailing Address - Fax:412-692-2520
Practice Address - Street 1:SCAIFE HALL 3550 TERRACE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261-1301
Practice Address - Country:US
Practice Address - Phone:888-847-8836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025624363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care