TINA R JORDAN (NPI# 1194918912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194918912 |
| Entity Type | Individual |
| Full Name | TINA R JORDAN |
| Credential | LAC |
| Practice Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A0705040 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699899773 | Tina Jordan | Registered Nurse | 47 Aegina Ct, Tinley Park, IL 60477-4825 | 2007-03-16 |
| 1417318775 | Tina Jordan | Nurse Practitioner | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2016-03-15 |
| 1255703088 | Tina Jordan | Nurse Practitioner | 101 Deluxe Cir, Suite B, Thomaston, GA 30286-3030 | 2015-10-20 |
| 1699110940 | Tina Jordan | Occupational Therapy Assistant | 307 Main St, Lander, WY 82520-3101 | 2013-04-30 |
| 1831477595 | Tina Marie Jordan | Massage Therapist | 4640 Lipscomb St Ne, Suite 16, Palm Bay, FL 32905-2986 | 2011-07-29 |
| Street Address |
2707 BROWNS LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447702 | Jyothsna Kumar | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-02-22 |
| 1043823552 | Sheila Mckenzie | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-25 |
| 1245841592 | Skyler Prunty | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1053922302 | Matheu Turner | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1245841576 | Tatyana Barber | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1124643903 | Grace Williams | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-06-08 |
| 1679106231 | Arthur Paul Bruce | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-21 |
| 1619500139 | Antonio Carlos De Almeida Dos Santos | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-13 |
| 1518599091 | Marcie L Tuggle | Nurse Practitioner | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-12 |
| 1215568522 | Jessica Aubrie Dacus | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
| 1548895667 | The Practice: Therapeutic Counseling Services | Counselor | 1407 Marketplace Dr Ste 2, Jonesboro, AR 72401-5271 | 2020-03-09 |
| 1235769332 | Hilde Nicole White | Counselor | 3707 Harrisburg Rd, Jonesboro, AR 72404-8463 | 2020-01-17 |
| 1750929196 | Finetra Chambers | Counselor | 194 Jonesboro Rd Ste A7, Jonesboro, GA 30236-2401 | 2019-12-17 |
| 1881245942 | Business Management Consultants, LLC | Counselor | 409 Arrowhead Blvd Ste C1&c2, Jonesboro, GA 30236-1255 | 2019-09-20 |
| 1275181216 | Nc Counseling Services, Pllc | Counselor | 2917 King St Ste Cd, Jonesboro, AR 72401-5322 | 2019-09-03 |
| 1730642588 | Camille Jewel Rowe | Counselor | 9339 Basswood Way, Jonesboro, GA 30236-6194 | 2019-04-09 |
| 1083185656 | Pia Bhatti | Counselor | 560 Highway 138 W, Jonesboro, GA 30238-2222 | 2018-12-07 |
| 1609342310 | Kasandra Haynes | Counselor | 4217 Oakhill Ln, Jonesboro, AR 72401-8806 | 2018-10-19 |
| 1730616798 | The Mentalists Group LLC | Counselor | 124 S Main St Ste 2d, Jonesboro, GA 30236-3502 | 2017-05-20 |
| Find all providers in JONESBORO | ||||
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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.