Provider Type Icon

CONSTANCE W JORDAN ANP PMHNP NPI 1518939032


NPI Information

NPI: 1518939032
Provider Name: CONSTANCE W JORDAN, ANP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: BEHAVIORAL HEALTH RESOURCES OF MAINE INC

PECOS Registration: Yes

Address:
48 FREE ST
MEZZANINE LEVEL
PORTLAND, ME
ZIP 04101
Phone: (207) 808-1384
Get Directions

Constance W Jordan, ANP, PMHNP is a psychiatric/mental health nurse practitioner in Portland, ME with 26 years of experience. Constance W Jordan, ANP, PMHNP NPI is 1518939032. 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:

48 FREE ST
MEZZANINE LEVEL
PORTLAND, ME
ZIP 04101-872
Phone: (207) 808-1384
Fax: (207) 221-1710

The NPI 1518939032 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 2/7/2006 and was last updated on 4/10/2015.


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
1363LP0808XNurse PractitionerPsychiatric/Mental Health034525MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NP1492MEDICARE PINMAINE
2NP149202MEDICARE PINMAINE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.