Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jermaine Jordan, STNA

Individual provider Assisted Living Facility (Behavioral Disturbances) · NPI 1104368240

Jermaine Jordan, STNA is an Assisted Living Facility (Behavioral Disturbances) in Sanford, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

1210 Retreat View Cir
Sanford, FL 32771-7276
Phone: (216) 772-9101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence CNA312402 (FL)

Record details

NPI number1104368240
Entity typeIndividual (Type 1)
GenderMale
Credentials STNA
Sole proprietorYes
NPI enumeratedNovember 7, 2016
Last updated in NPPESNovember 7, 2016