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General NPI Number Information
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NPI Number | 1649131335
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Entity Type | Individual
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Provider Name | SUSAN MARIE JORDAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 8976 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-3128
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Country | US
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Telephone | 321-848-4986
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Fax |
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Provider Business Mailing Address
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Address Line | 8976 CONROY WINDERMERE ROAD
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone | 407-217-2410
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Fax | 407-723-7555
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11043730
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License Number State | FL
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