Kanisha Jordan
Kanisha Jordan is a Community Health Worker in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2201 E 46th St Ste 119Indianapolis, IN 46205-1449
Phone: (317) 289-9077
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 300104002 (IN) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X · Licence 300104002 (IN) |
Record details
| NPI number | 1972304186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2025 |
| Last updated in NPPES | March 24, 2025 |
| Certification date | March 24, 2025 |
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