Healthcare Provider Details

I. General information

NPI: 1619800158
Provider Name (Legal Business Name): JORDAN & JORDAN HEALTHCARE AND MANAGEMENT SOLUTIONS CO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 TENDERFOOT HILL ST STE 10
COLORADO SPRINGS CO
80906-8354
US

IV. Provider business mailing address

1251 OLIVER ST
FAYETTEVILLE NC
28304-4450
US

V. Phone/Fax

Practice location:
  • Phone: 318-294-7667
  • Fax:
Mailing address:
  • Phone: 318-294-7667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CALEB LEE JORDAN
Title or Position: OWNER
Credential: MD
Phone: 318-294-7667