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General NPI Number Information
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NPI Number | 1861632176
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Entity Type | Individual
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Provider Name | JENNIFER LINDA JORDAN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 9433 PARK HUNT CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1364
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Country | US
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Telephone | 301-642-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 9433 PARK HUNT CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1364
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Country | US
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Telephone | 301-642-5404
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 184613
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024179751
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN727829
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1007817
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License Number State | DC
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