Provider Demographics
NPI:1033612775
Name:JORDAN, SABRINA (MSN, RN, NP-C,RNFA)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MSN, RN, NP-C,RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3608
Mailing Address - Country:US
Mailing Address - Phone:917-617-8303
Mailing Address - Fax:
Practice Address - Street 1:COMMUNITY MEDICAL CENTER
Practice Address - Street 2:99 NEW JERSEY 37
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-557-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01094400363L00000X
NJ26NR16249000163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty