MEDICARE: NANCY L JORDAN 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
1	363LF0000X	Family Nurse Practitioner	R857538	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R857538	OTHER	MS	RN

General Provider Information

NPI Number	:	1659400885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY L JORDAN FNP

Provider Business Mailing Address
First Line	:	PO BOX 746085
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6085
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 ELLIS AVE
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39209-6256
Country	:	US
Telephone Number	:	601-533-7016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	09/06/2024

Similar Medicare Providers

1467459149 — JOSEPH SAMUEL HUNTER MD
Practice Location Address:

911 ELLIS AVE
JACKSON, MS
39209-6256

Practice Phone: 601-533-7016
Practice Fax: 769-333-9150

1649210477 — MELANIE PAIGE-BROWN
Practice Location Address:

989 ELLIS AVE
JACKSON, MS
39209-6256

Practice Phone: 601-354-3557
Practice Fax:

1033150263 — BOB HUTCHINS
Practice Location Address:

911 ELLIS AVE
JACKSON, MS
39209-6256

Practice Phone: 601-533-7016
Practice Fax:

1134152424 — BARBARA KENDRICK
Practice Location Address:

911 ELLIS AVE
JACKSON, MS
39209-6256

Practice Phone: 601-533-7016
Practice Fax: 769-333-9150

1649285800 — WALGREEN CO
Practice Location Address:

977 ELLIS AVE
JACKSON, MS
39209-6256

Practice Phone: 601-944-9965
Practice Fax:

1124038286 — DR. RICHARD NELSON SMITH DMD
Practice Location Address:

989 ELLIS AVE
JACKSON, MS
39209-6256

Practice Phone: 601-354-3557
Practice Fax:

Directions to “ NANCY L JORDAN FNP” 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 © 2007-2025 (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.