Jorden Deneil Blakely, OWNER

Practice location

Address

6805 Mayfield Rd APT 606, Mayfield Heights, OH 44124-2252

Phone

(216) 801-5494

Registered specialties

Registry record

NPI

1568171833

Entity type

Individual

Sex (as registered)

Male

NPI issued

16 Nov 2022

Record last updated

8 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.