Healthcare Provider Details

I. General information

NPI: 1851233761
Provider Name (Legal Business Name): JORDEN LOTT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11190 HEALTH PARK BLVD
NAPLES FL
34110-5729
US

IV. Provider business mailing address

13215 ANTELOPE RUN
SAINT HEDWIG TX
78152-0107
US

V. Phone/Fax

Practice location:
  • Phone: 940-249-2138
  • Fax:
Mailing address:
  • Phone: 940-249-2138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11046593
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: