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

Mr. Walter Jerome Jordan

Individual provider Home Health Agency · NPI 1447733712

Mr. Walter Jerome Jordan is a Home Health Agency in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
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Practice location Address checks out

600 40th St N Apt 111
St Petersburg, FL 33713-6339
Phone: (727) 657-8392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 235565 (FL)

Record details

NPI number1447733712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2018
Last updated in NPPESSeptember 12, 2018

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