Type 1 individualNPI 1992639306

JORDAN CHASE EDWARDS

146L00000X · LONG BEACH, MS

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 44 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
146L00000X 146L00000X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s