Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tynette Jordan

Individual provider Counselor · NPI 1124439351

Tynette Jordan is a Counselor in Lake City, Florida. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

708 N.w Wilson St
Lake City, FL 32055 Not confirmed with CMS for 12 years — call before visiting
Phone: (407) 680-8483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1124439351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2014
Last updated in NPPESMay 9, 2014

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