TINA JORDAN FNP NPI 1255703088

NPI Information

  • NPI: 1255703088
  • Provider Name: TINA JORDAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 345 HUNTINGTON PLACE CT
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (678) 272-7280

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NPI Details

Tina Jordan, FNP is a family nurse practitioner in Mcdonough, GA with 11 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.

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 2/9/2025.

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
1363LF0000XNurse PractitionerFamilyRN 98431GEORGIAYes

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: 11/21/2025

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