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MS. JACKIE D JORDAN MA LADC NPI 1114263001


NPI Information

NPI: 1114263001
Provider Name: MS. JACKIE D JORDAN, MA, LADC
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3700 N CLASSEN BLVD
SUITE C-55
OKLAHOMA CITY, OK
ZIP 73118
Phone: (405) 605-0881
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MS. Jackie D Jordan, MA, LADC is an addiction (substance use disorder) psychologist in Oklahoma City, OK. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. MS. Jackie D Jordan, MA, LADC NPI is 1114263001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3700 N CLASSEN BLVD
SUITE C-55
OKLAHOMA CITY, OK
ZIP 73118-872
Phone: (405) 605-0881
Fax: (405) 605-0879

The enumeration date for this NPI number is 12/20/2012 and was last updated on 12/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)490OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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