MR. DREXEL L JORDAN (NPI# 1851481337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851481337 |
| Entity Type | Individual |
| Full Name | MR. DREXEL L JORDAN |
| Credential | APN |
| Practice Address |
3000 Kavanaugh Blvd Suite 300 Little Rock AR 72205-3767 |
| Mailing Address |
917 N Spruce St Little Rock AR 72205-1956 |
| Practice Telephone | 5013503055 |
| Mailing Telephone | 5013503055 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AO1399 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 KAVANAUGH BLVD SUITE 300 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396021481 | Robert David Dykes | Massage Therapist | 3000 Kavanaugh Blvd, Suite A, Little Rock, AR 72205-3767 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1619452448 | Sarah Elizabeth Baker | Nurse Practitioner | 12120 Colonel Glenn Rd Ste 10000, Little Rock, AR 72210-2849 | 2018-09-27 |
| 1740772995 | Heather Gall | Nurse Practitioner | 15760 Carla Ln, Little Rock, AR 72206-6163 | 2018-06-04 |
| 1811404551 | Shelbi Lynn Sloan | Nurse Practitioner | 16115 Saint Vincent Way Ste 300, Little Rock, AR 72223-3000 | 2018-01-03 |
| 1881107076 | Arnetta Yvonne Williams | Nurse Practitioner | 4301 W Markham St # 623, Little Rock, AR 72205-7101 | 2017-11-09 |
| 1750796462 | Altegra Health Connections, LLC | Nurse Practitioner | 124 West Capitol Avenue, Suite 1900, Little Rock, AR 72201-3736 | 2014-06-23 |
| 1992126189 | Sheila Humphrey | Nurse Practitioner | 1120 Mack Rd, Little Rock, AR 72206-5790 | 2013-12-14 |
| 1730437575 | Sherian K Kwanisai | Nurse Practitioner | 4815 W. Markham Slot 21, Little Rock, AR 72205-3867 | 2012-08-28 |
| 1528349230 | Suzanne Louise Broadway | Nurse Practitioner | 9500 Lile Dr, Little Rock, AR 72205-6319 | 2011-09-08 |
| 1073893673 | Lashond Hill | Nurse Practitioner | 10201 W Markham St Ste 203, Little Rock, AR 72205-2181 | 2011-08-26 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.