TINA JORDAN FNP NPI 1255703088

NPI Information

NPI: 1255703088
Provider Name: TINA JORDAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
345 HUNTINGTON PLACE CT
MCDONOUGH, GA
ZIP 30253
Phone: (678) 272-7280
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Tina Jordan, FNP is a family nurse practitioner in Mcdonough, GA with 9 years of experience. Tina Jordan, FNP NPI is 1255703088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2015

The provider's business location address is:

345 HUNTINGTON PLACE CT
MCDONOUGH, GA
ZIP 30253-651
Phone: (678) 272-7280
Fax: (678) 610-6025

The NPI 1255703088 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 1/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN 98431	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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