TERRY MARK JORDAN (NPI# 1396303244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396303244 |
| Entity Type | Individual |
| Full Name | TERRY MARK JORDAN |
| Credential | CRNP |
| Practice Address |
2700 Hospital Dr Northport AL 35476-3360 |
| Mailing Address |
9308 Taylorwood Dr Tuscaloosa AL 35405-5937 |
| Practice Telephone | 2053334565 |
| Mailing Telephone | 2053495501 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-108733 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548409311 | Terry Lynn Jordan | Social Worker | 50 Lydia Lane, Youth Alternatives Ingraham, South Portland, ME 04106 | 2009-02-18 |
| 1417046327 | Terry T Jordan | Psychiatry & Neurology | 5000 Hwy 39 North, Meridian, MS 39301 | 2006-10-11 |
| 1740222108 | Terry Mark Jordan | Physical Therapist | 400 Hickory St Nw Ste 201, Albany, OR 97321-1700 | 2006-06-11 |
| 1063028736 | Terry L Jordan | Pharmacist | 3425 W Frye Rd, Chandler, AZ 85226-5008 | 2020-09-18 |
| 1801286216 | Terry Jordan | Massage Therapist | 333 S State St, Lake Oswego, OR 97034-3932 | 2015-01-23 |
| 1285066886 | Terry Lee Jordan | Social Worker | 4396 Highway 80, Ruston, LA 71270-8948 | 2013-08-06 |
| 1407907959 | Terry M. Jordan | Respiratory Therapist, Registered | 1959 Ne Pacific St, Box 356172, Seattle, WA 98195-0001 | 2007-01-12 |
| 1063509685 | Terry A Jordan | Social Worker | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2006-10-06 |
| 1114987765 | Terry L Jordan | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2006-03-27 |
| Street Address |
2700 HOSPITAL DR |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669048 | Lee C. Carter | Anesthesiology | 2700 Hospital Dr, Northport, AL 35476-3360 | 2005-06-20 |
| 1033745294 | William Jackson Steele Sr. | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2020-03-19 |
| 1629600788 | Richard Navickas II | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2020-02-06 |
| 1699261149 | Relias Emergency Medicine Specialists of Northport, LLC | Emergency Medicine | 2700 Hospital Dr, Northport, AL 35476-3360 | 2018-07-09 |
| 1205327731 | Newton Hinton Tinsley | Nurse Anesthetist, Certified Registered | 2700 Hospital Dr, Northport, AL 35476-3360 | 2018-05-21 |
| 1992220735 | Krista Klemm | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2017-08-12 |
| 1184049900 | Erika Pierce Powell | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2014-03-03 |
| 1679995732 | Kris D Sparks | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2014-01-09 |
| 1124440201 | Barbara Jernigan | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2014-01-09 |
| 1487907952 | Karra Porter Aymond | Physician Assistant | 2700 Hospital Dr, Northport, AL 35476-3360 | 2012-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432568 | Jacqueline Elaine White | Nurse Practitioner | 3105 31st Ave, Northport, AL 35476-5240 | 2020-06-22 |
| 1164042586 | Ashleigh Nicole Morris | Nurse Practitioner | 800 Energy Center Blvd Apt 3109, Northport, AL 35473-2732 | 2020-04-26 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1881046647 | Sharon Ann Hawkins | Nurse Practitioner | 11401 Saint James Ct, Northport, AL 35475-4430 | 2016-07-05 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1356612873 | David Clark Bailey Jr. | Nurse Practitioner | 2810 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2012-01-13 |
| 1124113394 | Susanne Mills Snider | Nurse Practitioner | 2810 Lurleen Wallace Blvd, Northport, AL 35476-3249 | 2006-10-04 |
| 1417953092 | Mary Anne Dumas | Nurse Practitioner | Nurse Practitioner, Yellow Primary Care Clinic, Vamc, 76 Middleville Road, Northport, NY 11743 | 2005-06-28 |
| 1790398469 | Shelby Leanne Bowden | Nurse Practitioner | 1325 Mcfarland Blvd Ste 204, Northport, AL 35476-3275 | 2020-08-24 |
| 1598381097 | Shelby S Warren | Nurse Practitioner | 4410 Watermelon Rd, Northport, AL 35473-5204 | 2020-06-19 |
| Find all providers in NORTHPORT | ||||
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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.