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

Tracy Lynn Jordan

Individual provider Peer Specialist · NPI 1104631167

Tracy Lynn Jordan is a Peer Specialist in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2549 W Shaw Ave
Fresno, CA 93711-3308
Phone: (559) 264-7521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1104631167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address2549 W Shaw Ave, Fresno, CA 93711-3308

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