Provider Demographics
NPI:1255203717
Name:EARL-NEWMAN, JORDAN AREON (BA)
Entity type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:AREON
Last Name:EARL-NEWMAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8855 W ARBY AVE APT 3004
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2212
Mailing Address - Country:US
Mailing Address - Phone:702-963-2247
Mailing Address - Fax:
Practice Address - Street 1:570 W CHEYENNE AVE STE 10
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-3931
Practice Address - Country:US
Practice Address - Phone:702-290-9383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner