JEREMY DUGGER JORDAN CRNP CPNP-AC NPI 1417348905

NPI Information

NPI: 1417348905
Provider Name: JEREMY DUGGER JORDAN, CRNP, CPNP-AC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

Address:
1600 7TH AVE S
CPPI 102
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 638-3400
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Jeremy Dugger Jordan, CRNP, CPNP-AC is a pediatrics and critical care nurse practitioner in Birmingham, AL. Jeremy Dugger Jordan, CRNP, CPNP-AC NPI is 1417348905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 7TH AVE S
CPPI 102
BIRMINGHAM, AL
ZIP 35233-711
Phone: (205) 638-3400

The enumeration date for this NPI number is 2/5/2015 and was last updated on 12/11/2017.

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	163W00000X	Registered Nurse		1-136533	ALABAMA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	1-136533	ALABAMA	No
3	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	1-135633	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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