MR. CHARLES JORDAN (NPI# 1679033476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679033476 |
| Entity Type | Individual |
| Full Name | MR. CHARLES JORDAN |
| Credential | FNP-C |
| Practice Address |
10201 Highway 16 Comanche TX 76442-4462 |
| Mailing Address |
2350 Highway 16 De Leon TX 76444-6411 |
| Practice Telephone | 2548794910 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
848612 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1679033476 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477910 | Charles B. Jordan | Technician | 1339 Fairview Rd, Webster Springs, WV 26288-8444 | 2020-08-11 |
| 1306126263 | Charles Raymond Jordan | Nurse Practitioner | 1350 Sunset Dr Ste B, Grenada, MS 38901-4079 | 2011-08-24 |
| 1568561462 | Charles E Jordan | Orthopaedic Surgery | 751 Pre Emption Rd, Suite 1, Geneva, NY 14456 | 2006-09-21 |
| 1871565374 | Charles J Jordan | Dentist | 1425 W Grand Ave Ste 101, Haysville, KS 67060-1270 | 2006-02-07 |
| 1518516392 | Charles Jordan | Dentist | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2019-09-05 |
| 1932752110 | Charles Jordan | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2019-07-17 |
| 1578060794 | Charles Jordan | Counselor | 4124 Linden Ave, Dayton, OH 45432-3018 | 2018-04-13 |
| 1205340890 | Charles Jordan | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2017-11-20 |
| 1386168334 | Charles Jermaine Jordan | Emergency Medical Technician, Basic | Lyster Army Health Clinic, Building 301, Andrews Avenue, Fort Rucker, AL 36362-5333 | 2017-08-01 |
| 1013295120 | Charles R Jordan | Pharmacist | 13111 W Alameda Pkwy, Lakewood, CO 80228-3108 | 2011-07-25 |
| Street Address |
10201 HIGHWAY 16 |
| City | COMANCHE |
| State | TX |
| Zip Code | 76442-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752404 | Comanche County Consolidated Hospital District | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2005-10-05 |
| 1306181508 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-29 |
| 1336483684 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-26 |
| 1114221199 | Comanche County Medical Center Company | Clinic/Center | 10201 Highway 16, Comanche, TX 76442-4462 | 2011-01-05 |
| 1346544616 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-30 |
| 1114220928 | Comanche County Medical Center | Ambulance | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-16 |
| 1275854952 | Comanche County Physicians Group | Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-06-17 |
| 1356501035 | Hill Country Advanced Foot and Ankle Center, P.a. | Podiatrist | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-06-16 |
| 1386811958 | Comanche Internal Medicine, Pa | Internal Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-05-13 |
| 1225216930 | Doctors Medical Center Clinic | Family Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130692 | Mylinda Gay Blue | Registered Nurse | 10201 Highway 16 N, Comanche, TX 76442 | 2019-02-14 |
| 1598246654 | Minerva L Marsh | Occupational Therapist | 400 Sidney Rd, Comanche, TX 76442 | 2018-08-27 |
| 1891189676 | Comanche County Consolidated Hospital District | Hospice Care, Community Based | 108 W Oak, Comanche, TX 76442 | 2015-03-19 |
| 1083851513 | Comanche County Medical Center Dba Doctors Medical Center | Family Medicine | 10201 Hwy 16 N, Comanche, TX 76442 | 2009-01-21 |
| 1548284631 | Gary M Easley, Dds Inc | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2006-07-26 |
| 1992260244 | Stephanie Renee Stout | Licensed Vocational Nurse | 10201 Hwy 16 North, Comanche, TX 76442 | 2019-01-31 |
| 1629286182 | Gary M Easley | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2007-05-18 |
| 1861707010 | Greater North Texas Emergency Medical Services Corp | Ambulance | 1400-a N. Austin, Comanche, TX 76442-0000 | 2010-08-12 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1285738245 | John Ben Knudson | Pharmacy | 1001 N Austin St, Comanche, TX 76442-1701 | 2006-09-12 |
| Find all providers in zip 76442 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619113172 | Christine Crawford | Nurse Practitioner | 303 N Highway 81, Comanche, OK 73529-1423 | 2009-01-05 |
| 1508071697 | Comanche Family Clinic LLC | Nurse Practitioner | 105 Valley Forge St, Comanche, TX 76442-1813 | 2007-05-11 |
| 1932293933 | Rachel Hilliard | Nurse Practitioner | 105 Valley Forge St, Comanche, TX 76442-1813 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CHARLES JORDAN.
| 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.