Healthcare Provider Details

I. General information

NPI: 1295290427
Provider Name (Legal Business Name): JORDAN BILLINGS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 COBB PKWY NW
ACWORTH GA
30101-3914
US

IV. Provider business mailing address

3345 COBB PKWY NW STE 800
ACWORTH GA
30101-8346
US

V. Phone/Fax

Practice location:
  • Phone: 770-343-9898
  • Fax:
Mailing address:
  • Phone: 678-919-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP260894
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340640
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: