MEDICARE: DOROTHY LEE JORDAN APRN

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	363LA2200X	Adult Health Nurse Practitioner	APRN11042641	FL

General Provider Information

NPI Number	:	1578112025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY LEE JORDAN APRN

Provider Business Mailing Address
First Line	:	40 BUTTRICK RD
Second Line	:
City	:	LONDONDERRY
State	:	NH
Zip	:	03053-3381
Country	:	US
Telephone Number	:	603-370-8977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 SAXON BLVD
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8468
Country	:	US
Telephone Number	:	386-917-7108
Fax Number	:	386-917-7293

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

Provider Enumeration Date	:	09/07/2019
Last Update Date	:	03/24/2026

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1508867409 — JOAQUIN J BARBARA M.D.
Practice Location Address:

1055 SAXON BLVD
ORANGE CITY, FL
32763-8468

Practice Phone: 386-917-7560
Practice Fax: 386-917-7293

1598747982 — CE BUNNELL & ASSOCIATES PLLC
Practice Location Address:

1055 SAXON BLVD , DEPT. OF PATHOLOGY
ORANGE CITY, FL
32763-8468

Practice Phone: 386-851-5000
Practice Fax: 386-917-5159

1003899170 — PEDRO N. YEPES-HOYOS M.D.
Practice Location Address:

1055 SAXON BLVD , DEPT. OF PATHOLOGY
ORANGE CITY, FL
32763-8468

Practice Phone: 386-851-5000
Practice Fax: 386-917-5159

1972586048 — MARIO H. ALVARADO M.D.
Practice Location Address:

1055 SAXON BLVD , DEPT. OF PATHOLOGY
ORANGE CITY, FL
32763-8468

Practice Phone: 386-851-5000
Practice Fax: 386-917-5159

1225011398 — CHARLES EDWARD BUNNELL M.D.
Practice Location Address:

1055 SAXON BLVD , DEPT. OF PATHOLOGY
ORANGE CITY, FL
32763-8468

Practice Phone: 386-651-5000
Practice Fax: 386-917-5159

1811976236 — GERTRUDE C BIRKHAHN
Practice Location Address:

1055 SAXON BLVD
ORANGE CITY, FL
32763-8468

Practice Phone: 386-917-5110
Practice Fax: 386-917-5219

Directions to “ DOROTHY LEE JORDAN APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.