LUANN K JORDAN (NPI# 1124094545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124094545 |
| Entity Type | Individual |
| Full Name | LUANN K JORDAN |
| Credential | APRN,BC |
| Practice Address |
725 N Pearl St Stockton IL 61085-9267 |
| Mailing Address |
421 W Exchange St Po Box 268 Freeport IL 61032-4030 |
| Practice Telephone | 8159473211 |
| Mailing Telephone | 8155997958 |
| Enumeration Date | 2006-02-25 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
041259043 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PRIOR 11/1/2006 | L84524 | 01 |
| Street Address |
725 N PEARL ST |
| City | STOCKTON |
| State | IL |
| Zip Code | 61085-9267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774981 | Jane Addams Community Mental Health Center | Clinic/Center | 725 N Pearl St, Stockton, IL 61085-9267 | 2018-09-24 |
| 1396880464 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 725 N Pearl St, Stockton, IL 61085-9267 | 2007-02-20 |
| 1215903422 | Teri A Williams | Physical Therapist | 725 N Pearl St, Stockton, IL 61085-9267 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330152 | Waverly Place of Stockton, LLC | Skilled Nursing Facility | 501 E Front Avenue, Stockton, IL 61085 | 2015-03-17 |
| 1033603790 | Caitlin M Pullara | Dentist | 120 W Front Ave, Stockton, IL 61085 | 2018-06-17 |
| 1598935504 | Carroll & Jo Davies & Stephenson Roe | Case Manager/Care Coordinator | 500 N Rush St, Stockton, IL 61085-1004 | 2008-03-05 |
| 1215105291 | Stockton Cusd 206 | Local Education Agency (LEA) | 500 N Rush St # M, Suite A, Stockton, IL 61085-1004 | 2008-02-13 |
| 1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
| 1700059805 | Kreider Services, Inc | Intermediate Care Facility, Mentally Retarded | 605 N Main St, Stockton, IL 61085-1121 | 2008-04-09 |
| 1629257332 | Joseph Stephan Cahill | Chiropractor | 307 N Hudson St, Stockton, IL 61085-1219 | 2007-10-30 |
| 1710052246 | Stephen F Petras | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
| 1093880536 | Stockton Dental Center, Inc. | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
| 1255955449 | Andrew John Gibbs | Pharmacist | 117 N Main St, Stockton, IL 61085-1321 | 2020-06-03 |
| Find all providers in zip 61085 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| 1275099418 | Angelica May Palomares Santos | Nurse Practitioner | 3733 Sanguinetti Ln, Stockton, CA 95205-2580 | 2019-02-12 |
| 1972074821 | Usha R Vyas | Nurse Practitioner | 415 E Harding Way Ste D, Stockton, CA 95204-6118 | 2018-12-17 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1033568860 | Jennifer Yana | Nurse Practitioner | 10200 Trinity Pkwy Ste 202, Stockton, CA 95219-7288 | 2016-06-13 |
| 1235595067 | Tiffanie Dai | Nurse Practitioner | 4719 Quail Lakes Dr Ste G, Pmb#274, Stockton, CA 95207-5267 | 2016-01-08 |
| 1265716542 | Sandeep K Bhangoo | Nurse Practitioner | 2351 W March Ln, Suite A, Stockton, CA 95207-5292 | 2011-10-04 |
| 1043522659 | Ketty Ukpong Uweh | Nurse Practitioner | 644 E Harding Way Ste B, Stockton, CA 95204-6103 | 2010-07-12 |
| 1134198286 | Mary Catherine Raymond | Nurse Practitioner | 530 W Acacia St Ste 1, Stockton, CA 95203-2400 | 2006-03-14 |
| 1306839352 | Brenda L. Holiday | Nurse Practitioner | 1307 N Commerce St, Stockton, CA 95202-1012 | 2005-08-24 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on LUANN K 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.