MEDICARE: JORDAN FAMILY CLINIC INC

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
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1518467976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORDAN FAMILY CLINIC INC

Provider Business Mailing Address
First Line	:	6080 S HULEN ST STE 360
Second Line	:	PMB 198
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 MCCART AVE, STE 109
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-6135
Country	:	US
Telephone Number	:	817-612-1551
Fax Number	:	817-720-9989

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	RHODA STEVENS
Credential	:	APRN, FNP-BC
Telephone Number	:	817-612-1551

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	10/07/2023

Similar Medicare Providers

1093240780 — ALFORD WADE
Practice Location Address:

4701 ALTAMESA BLVD STE 1F
FORT WORTH, TX
76133-6135

Practice Phone: 817-370-1223
Practice Fax: 817-370-1225

1902844608 — DR. VIVIENNE VELASCO O.D.
Practice Location Address:

6135 S FORT APACHE RD STE 400
LAS VEGAS, NV
89148-6731

Practice Phone: 702-473-5660
Practice Fax: 702-473-5532

1548415920 — VIVIENNE VELASCO O D PC
Practice Location Address:

6135 S FORT APACHE RD STE 400
LAS VEGAS, NV
89148-6731

Practice Phone: 702-473-5660
Practice Fax: 702-473-5532

1659057552 — JEREMY JAMES GERMAINE
Practice Location Address:

6135 N HAMPTON PLACE
FORT WAYNE, IN
46815

Practice Phone: 765-667-3656
Practice Fax:

1376977447 — SUSAN L MCCRACKEN ARNP
Practice Location Address:

6135 LAKE WORTH RD
GREENACRES, FL
33463-3074

Practice Phone: 561-740-2900
Practice Fax: 561-434-4618

1912605007 — GASTRO HEALTH, LLC
Practice Location Address:

6135 LAKE WORTH RD STE 100
GREENACRES, FL
33463-3074

Practice Phone: 561-434-0060
Practice Fax: 561-434-0086

Directions to “JORDAN FAMILY CLINIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.