JACQUELINE JORDAN (NPI# 1114292331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114292331 |
| Entity Type | Individual |
| Full Name | JACQUELINE JORDAN |
| Credential | NP |
| Practice Address |
65 Southfield St Kingston NY 12401-1913 |
| Practice Telephone | 8455329411 |
| Mailing Telephone | 8455329411 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 633547-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
339127 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225412497 | Jacqueline Jordan | Case Manager/Care Coordinator | 5521 Sw 10th Ave, Topeka, KS 66604-2101 | 2015-07-16 |
| 1912224064 | Jacqueline D Jordan | Social Worker | 6815 W. Capitol Avenue, Milwaukee, WI 53216 | 2010-04-29 |
| 1477671618 | Jacqueline Ann Jordan | Psychiatry & Neurology | 949 Saint Andrews Cir, Geneva, IL 60134-2995 | 2007-03-26 |
| 1801497193 | Jacqueline Jordan | Clinic/Center | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-11-04 |
| 1205477346 | Jacqueline Jordan | Home Health Aide | 2639 Naylor Rd Se Apt 102, Washington, DC 20020-7249 | 2019-09-30 |
| 1700349115 | Jacqueline Lovon Jordan | Counselor | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-04-11 |
| 1215422514 | Jacqueline Jordan | Physician Assistant | 809 Main St, East Hartford, CT 06108-3142 | 2018-06-28 |
| 1801253257 | Jacqueline Jordan | Counselor | 217 Brevard Ct Ste A, Alexandria, LA 71303-3997 | 2016-01-15 |
| 1023373644 | Jacqueline B Jordan | Speech-Language Pathologist | 358 Mclaws Cir, Suite 1, Williamsburg, VA 23185-6344 | 2012-07-10 |
| 1134447105 | Jacqueline Marie Jordan | Social Worker | 1117 N Jackson St, Bloomington, IN 47404-3385 | 2010-05-14 |
| Street Address |
65 SOUTHFIELD ST |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637309 | Christine Marie Pabst | Nurse Practitioner | 667 Meadowland Ave, Kingston, PA 18704-5316 | 2020-10-20 |
| 1972126027 | Victoria Finn | Nurse Practitioner | 110 Summer St, Kingston, MA 02364-1419 | 2020-05-23 |
| 1104453158 | Nicola Richards | Nurse Practitioner | 80 Grand St, Kingston, NY 12401-3908 | 2020-03-26 |
| 1700369006 | Mary Christina Carter | Nurse Practitioner | 1215 River Bend Dr, Kingston, TN 37763-4528 | 2018-09-12 |
| 1568955342 | Debra L Mclaughlin | Nurse Practitioner | 2 Red Gate Dr, Kingston, NH 03848-3146 | 2018-06-07 |
| 1780107698 | Kelly Burger | Nurse Practitioner | 40 Hurley Ave Ste 4, Kingston, NY 12401-3738 | 2017-07-23 |
| 1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
| 1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1346589801 | John W Rosencrans Crnp, PC | Nurse Practitioner | 395 Osceola Ave, Kingston, PA 18704-5118 | 2013-02-04 |
| Find all providers in KINGSTON | ||||
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| 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.