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

Individual provider Occupational Therapist · NPI 1508230988

Kimberly Nacole Jordan is an Occupational Therapist in Fort Deposit, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2015
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Practice location Address checks out

435 Pine St
Fort Deposit, AL 36032-4740
Phone: (334) 833-2396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3721 (AL)

Record details

NPI number1508230988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 22, 2015
Last updated in NPPESNovember 22, 2015