Provider Demographics
NPI:1245128800
Name:FRANCIS, JORDAN ALEXANDRA
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:ALEXANDRA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9204 U S HIGHWAY 29
Mailing Address - Street 2:
Mailing Address - City:BLAIRS
Mailing Address - State:VA
Mailing Address - Zip Code:24527-2810
Mailing Address - Country:US
Mailing Address - Phone:434-770-1667
Mailing Address - Fax:
Practice Address - Street 1:9204 U S HIGHWAY 29
Practice Address - Street 2:
Practice Address - City:BLAIRS
Practice Address - State:VA
Practice Address - Zip Code:24527-2810
Practice Address - Country:US
Practice Address - Phone:434-770-1667
Practice Address - Fax:434-770-1667
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)