Jordan Elizabeth Stafford | Golden Valley, MN • PECOS Search

Jordan Elizabeth Stafford

Chiropractor

Chiropractic Providers

8441 Wayzata Blvd Ste 125, Golden Valley, MN 55426-1378

PECOS Enrollment

Based on the most recent information from CMS, provider Jordan Elizabeth Stafford does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1245049683
Provider Type
Individual
Full Name
Stafford, Jordan Elizabeth
Title
Dr.
Credential
DC

Gender
Female
Sole Proprietor
No
Enumeration Date
12/31/2024
Last Updated
12/31/2024

Contact Information

Practice Location

8441 Wayzata Blvd Ste 125, Golden Valley, MN 55426-1378

Unlisted Fax

Mailing Location

8441 Wayzata Blvd Ste 125, Golden Valley, MN 55426-1378

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 7299 Minnesota