Provider Demographics
NPI:1447852702
Name:THORPE, JORDAN KIMBERLY
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:KIMBERLY
Last Name:THORPE
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 1:103 CROYDON CT APT 4
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4106
Mailing Address - Country:US
Mailing Address - Phone:202-845-1254
Mailing Address - Fax:
Practice Address - Street 1:1305 CONGRESS ST SE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5059
Practice Address - Country:US
Practice Address - Phone:202-845-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant