MEDICARE: JORDAN RESCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1121059	TX

General Provider Information

NPI Number	:	1053244483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN RESCH

Provider Business Mailing Address
First Line	:	7685 NORTHCROSS DR UNIT 621
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-1759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7685 NORTHCROSS DR UNIT 621
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757-1759
Country	:	US
Telephone Number	:	541-840-5454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ JORDAN RESCH ” Practice Location

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