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

Jordan Siddock

Individual provider Community Health Worker · NPI 1871092262

Jordan Siddock is a Community Health Worker in Owosso, Michigan. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1484 N M 52
Owosso, MI 48867-1235
Phone: (770) 373-5822
Show map & directions

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

Additional practice locations (1)

  • 1555 Industrial Dr, Owosso, MI 48867-9775 — (989) 723-6791

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1871092262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address1555 Industrial Dr, Owosso, MI 48867-9775

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