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NPI Code Detail

MEDICARE: JORDAN GOLD FNP

MEDICARE:   JORDAN  GOLD  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP143387TX

General Provider Information

NPI Number : 1013559350
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN GOLD FNP
Provider Business Mailing Address
First Line : 8305 CALEDONIA DR
Second Line :
City : AUSTIN
State : TX
Zip : 78717-5431
Country : US
Telephone Number : 512-289-3339
Fax Number :
Provider Business Practice Location Address
First Line : 3918 FAR WEST BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78731-2901
Country : US
Telephone Number : 512-640-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 10/08/2019

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Directions to “ JORDAN GOLD FNP” Practice Location

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