Healthcare Provider Details

I. General information

NPI: 1588130884
Provider Name (Legal Business Name): JEAN BATTLE JOURDAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8006 DISCOVERY DR STE 400
HENRICO VA
23229-8600
US

IV. Provider business mailing address

7300 ASHLAKE PKWY STE 200
CHESTERFIELD VA
23832-2827
US

V. Phone/Fax

Practice location:
  • Phone: 804-256-8282
  • Fax: 804-256-8288
Mailing address:
  • Phone: 804-256-8282
  • Fax: 804-256-8288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024197572
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: