TRACY JORDAN

Peer Specialist

Active Individual
NPI: 1104631167

Practice Address

2549 W SHAW AVE
Fresno, CA 93711

Phone: (559) 264-7521

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1104631167 is the National Provider Identifier for TRACY JORDAN, a Peer Specialist provider located in Fresno, CA. This NPI was enumerated on February 7, 2025.
TRACY JORDAN practices at 2549 W SHAW AVE, Fresno, CA 93711.

Quick Facts

NPI
1104631167
Type
Individual
Enumerated
Feb 7, 2025
Last Updated
Feb 21, 2025

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