MELISSA FETT JORDAN (NPI# 1033554738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033554738 |
Entity Type | Individual |
Full Name | MELISSA FETT JORDAN |
Other Name | MELISSA DIANNE FETT |
Practice Address |
3100 Fairfield Ave Unit 10a Shreveport LA 71104-4152 |
Practice Telephone | 3182013939 |
Mailing Telephone | 3182013939 |
Enumeration Date | 2013-05-08 |
Last Update Date | 2013-05-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 390200000 | LA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548870215 | Melissa Jordan | Licensed Practical Nurse | 5106 Olde Forest Dr, Greensboro, NC 27406-8718 | 2020-08-06 |
1659998078 | Melissa Jordan | Nurse Practitioner | 605 Lincoln Dr, Fredericktown, MO 63645-6200 | 2020-07-01 |
1639651359 | Melissa Dawn Jordan | Licensed Vocational Nurse | 17722 Fm 974, Bryan, TX 77808-8780 | 2018-08-29 |
1366753451 | Melissa Jordan | Speech-Language Pathologist | 281 Weed Ave, Staten Island, NY 10306-4772 | 2010-06-23 |
1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
1932616059 | Melissa Jordan | Registered Nurse | 1543 Grimmett Dr, Shreveport, LA 71107 | 2018-01-10 |
1982058947 | Melissa Rae Jordan | Internal Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2016-04-15 |
1396091716 | Melissa Anne Jordan | Nurse Practitioner | 500 W Broadway St Fl 3, Missoula, MT 59802-4008 | 2012-08-03 |
1306139373 | Melissa Mobley Jordan | Dentist | 4250 Washington Rd, Evans, GA 30809-3087 | 2011-05-24 |
1851529143 | Melissa B Jordan | Acupuncturist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2009-06-25 |
Street Address |
3100 FAIRFIELD AVE UNIT 10A |
City | SHREVEPORT |
State | LA |
Zip Code | 71104-4152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
Find all providers in zip 71104 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285984823 | Wk Ob-gyn Concepts | Obstetrics & Gynecology | 7853 Youree Dr, Shreveport, LA 71105-5505 | 2012-09-11 |
1609985381 | Marsha Friedrich | Obstetrics & Gynecology | 1801 Fairfield Avenue Ste 207, Shreveport, LA 71101 | 2006-08-29 |
1710956255 | Bradley C. Colvin | Obstetrics & Gynecology | 9111 Susan Dr, Shreveport, LA 71118-3136 | 2006-03-16 |
1164417309 | John W Waterfallen | Obstetrics & Gynecology | 7941 Youree Dr, Shreveport, LA 71105-5538 | 2005-09-14 |
1952306177 | Stephanie Ann Sockrider | Obstetrics & Gynecology | 8001 Youree Dr, Ste 900, Shreveport, LA 71115-2326 | 2005-06-15 |
1891181004 | Caitlin Favaloro Busada | Obstetrics & Gynecology | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2015-04-14 |
1689087355 | Wk Womens Specialists At South | Obstetrics & Gynecology | 2530 Bert Koun Loop, Suite 112, Shreveport, LA 71118-3132 | 2014-06-10 |
1629498902 | Lauren Deroche Harris | Obstetrics & Gynecology | 1501 Kings Hwy, Ob/gyn, Shreveport, LA 71103 | 2014-04-24 |
1952721946 | John Morgan | Obstetrics & Gynecology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2014-04-17 |
1841634755 | Kilee Heard Lincoln | Obstetrics & Gynecology | 1501 Kings Hwy, Ob/gyn, Shreveport, LA 71103 | 2013-04-22 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71104 |
Please comment or provide details below to improve the information on MELISSA FETT JORDAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.