Individual ProviderJamie JordanCase Manager/Care CoordinatorOther Service ProvidersPractice Address1510 Byrum Rd, Blytheville, AR 72315-8033(870) 532-2600PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Jordan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1548586449Provider TypeIndividualFull NameJordan, JamieGenderFemaleSole ProprietorYesEnumeration Date4/16/2010Last Updated4/16/2010Contact InformationPractice LocationPractice Address1510 Byrum Rd, Blytheville, AR 72315-8033Phone(870) 532-2600FaxUnlisted FaxMailing LocationMailing Address1510 Byrum Rd, Blytheville, AR 72315-8033Phone(870) 532-2600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer