SearchOhio164W00000X

Shantearra Jorden

NPI 1306788179 · on the registry since 2026 · sole proprietor

Practice

Address
1395 Apple Farm Dr
Amelia, OH 45102
Phone
(312) 961-5269

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio