Provider Demographics
NPI:1891586749
Name:JORDAN, JEFFREY EDWARD JR
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:EDWARD
Last Name:JORDAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5718 KIEFER CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2714
Mailing Address - Country:US
Mailing Address - Phone:513-633-8227
Mailing Address - Fax:
Practice Address - Street 1:5718 KIEFER CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2714
Practice Address - Country:US
Practice Address - Phone:513-633-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant