MS. JENNIFER JEAN JORDAN (NPI# 1164534699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164534699 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER JEAN JORDAN |
| Credential | P.A. |
| Practice Address |
5145 Fm 620 N Ste B-110 Austin TX 78732-1815 |
| Practice Telephone | 5122660007 |
| Practice Fax Number | 5122660077 |
| Mailing Telephone | 5122660007 |
| Mailing Fax Number | 5122660077 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
PA04718 | TX | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04718 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00393129 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169815 | Jennifer Luvenia Jordan | Driver | 701 Shady Meadow Ln, Glenn Heights, TX 75154-7923 | 2018-06-29 |
| 1427561372 | Jennifer Jordan | Nurse Practitioner | 4404 Tina Ln, Plant City, FL 33563-8518 | 2017-11-14 |
| 1588908669 | Jennifer Elaine Jordan | Acupuncturist | 29 Mountain View St, Oak View, CA 93022-9412 | 2012-11-15 |
| 1730440389 | Jennifer Jordan | Licensed Practical Nurse | 31 Scarborough Ln Ste B, Wappingers Falls, NY 12590-5151 | 2012-05-30 |
| 1487925772 | Jennifer Rush Jordan | Registered Nurse | 607 Main Street, Lansdale, PA 19446 | 2012-01-19 |
| 1851617575 | Jennifer Anne Jordan | Speech-Language Pathologist | 1315 Chesterpoint Dr, Spring, TX 77386-2567 | 2010-04-20 |
| 1366685984 | Jennifer Jordan | Speech-Language Pathologist | 3300 Jordan Oaks Dr, Efland, NC 27243-9812 | 2009-04-13 |
| 1144481862 | Jennifer Michelle Jordan | Chiropractor | 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 | 2008-06-25 |
| 1891816336 | Jennifer Ann Jordan | Licensed Practical Nurse | 6152 N Main St, Wilkinson, IN 46186-9640 | 2007-04-03 |
| 1841338209 | Jennifer Jordan | Marriage & Family Therapist | 624 E Grand Blvd Ste E, Corona, CA 92879 | 2007-02-01 |
| Street Address |
5145 FM 620 N STE B-110 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78732-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079306 | Edward Lewis Lain | Dermatology | 5145 Fm 620 N Ste B-110, Austin, TX 78732-1815 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1851803688 | Lake Travis Emergency Physicians, Pllc | Internal Medicine | 5012 Ranch Road 620 North, Austin, TX 78732 | 2017-11-02 |
| 1679018386 | Joseph Civello | Pharmacist | 6911 Ranch Rd 620 N, Austin, TX 78732 | 2017-01-04 |
| 1619300431 | Rapid Radiology, Inc. | Radiology | 6548 Comanche Trl Ste 501, Austin, TX 78732 | 2013-08-15 |
| 1417395658 | Meagan Lee Scarborough | Dentist | 2900 N Quinlan Park Rd Ste 160, Austin, TX 78732 | 2013-06-10 |
| 1851667729 | Quinlan Park Dental | Dentist | 5145 N. Fm 620 Suite G-150, Austin, TX 78732 | 2012-03-26 |
| 1568611978 | Sumita Chakraborti | Dentist | 5145 N. Fm 620, Suite G-150, Austin, TX 78732 | 2008-09-10 |
| 1376736371 | Alexander Banks | Registered Nurse | 2900 N. Quinlan Park Rd., B240, Austin, TX 78732 | 2007-08-22 |
| 1760602585 | Vista View Dental | Dentist | 4300 N Quinlan Park Blvd, Suite 230, Austin, TX 78732 | 2007-04-26 |
| 1659448876 | Katherine Blum | Preventive Medicine | 3208 Magenta Sky Trail, Austin, TX 78732 | 2006-11-30 |
| Find all providers in zip 78732 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1588207344 | Haley Margaret Roberts | Physician Assistant | 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758-5386 | 2019-10-24 |
| 1073178901 | Ndukaku Dayton Ibe | Physician Assistant | 4411 Spicewood Springs Rd Apt 208, Austin, TX 78759-8570 | 2019-05-06 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1437607793 | Danielle Marie Werge | Physician Assistant | 6601 Vaught Ranch Rd, Suite 200, Austin, TX 78730-2307 | 2016-09-15 |
| 1831556158 | Kristin Serrano | Physician Assistant | 1524 S Interstate 35, Suite 202, Austin, TX 78704-8931 | 2016-01-16 |
| 1912309675 | Rachael Lichtenberger | Physician Assistant | 11609 Anderson Mill Rd, Austin, TX 78750-1354 | 2014-09-24 |
| 1417367707 | Sarah Caroline Moody Vance | Physician Assistant | 3000 N Interstate 35 Ste 600, Austin, TX 78705-1850 | 2014-05-07 |
| 1801165485 | Maegen Ricki Kennedy | Physician Assistant | 4107 South Captial Texas Hwy Suite 100a, Austin, TX 78704 | 2011-12-28 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.