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

Derrick Lamont Jordan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194039099

Derrick Lamont Jordan is a Student in an Organized Health Care Education/Training Program in Lincolnton, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lincolnton, NC

Additional practice locations (1)

  • 1850 Pineview Dr, Columbia, SC 29209-5085 — (803) 783-0303

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C008484 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194039099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2010
Last updated in NPPESJune 5, 2019

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