MRS. TIFFANY NICHOL JORDAN (NPI# 1275779423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275779423 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY NICHOL JORDAN |
| Credential | PMHNP |
| Practice Address |
2120 S Mcclintock Dr Ste 105 Tempe AZ 85282-2692 |
| Mailing Address |
1400 E Southern Ave Ste 735 Tempe AZ 85282-5691 |
| Practice Telephone | 4808040326 |
| Mailing Telephone | 4808040326 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP3218 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 393221 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290317 | Tiffany Lynn Jordan | Registered Nurse | 3443 Beaumont Dr, Toledo, OH 43608-1610 | 2010-07-23 |
| 1497233233 | Tiffany Jordan | Community Health Worker | 1569 State Route 28, Loveland, OH 45140-6086 | 2018-08-03 |
| 1154748747 | Tiffany Jordan | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2014-03-21 |
| 1992136246 | Tiffany Jordan | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-12-11 |
| 1407072341 | Tiffany B Jordan | Preventive Medicine | 2235 Venetian Court, Suite 1, Naples, FL 34109-8728 | 2007-04-18 |
| 1619008489 | Tiffany Marie Jordan | Counselor | 940 Avenue 64, Pasadena, CA 91105-2711 | 2007-03-07 |
| Street Address |
2120 S MCCLINTOCK DR STE 105 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902885031 | Patricia L Birmingham | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2006-01-17 |
| 1730676313 | Megan Gittins | Counselor | 2120 S Mcclintock Dr, Tempe, AZ 85282-2692 | 2018-04-18 |
| 1164963567 | Jenalee Remy | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-03-17 |
| 1942749361 | Esther Delpozo | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-02-17 |
| 1215473806 | Miriam Emran | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-01-06 |
| 1497299432 | Lisa Mendoza | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-12-09 |
| 1699218008 | Rebecca Jensen | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-12-02 |
| 1154863595 | Franchesca V Johnson | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-16 |
| 1861934200 | Courtney South | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-16 |
| 1457893349 | Allison Laughlin | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154585 | Freedom Lounge Pllc | Nurse Practitioner | 209 E Baseline Rd Ste E107, Tempe, AZ 85283-1299 | 2020-04-28 |
| 1003242314 | Christopher Ian Earle | Nurse Practitioner | 1835 E 6th St, Ste 21, Tempe, AZ 85281-2964 | 2013-09-18 |
| 1558542001 | Darlene J Merritt | Nurse Practitioner | 1150 South Forest Avenue #334, Tempe, AZ 85287 | 2007-11-26 |
| 1265654206 | Christina Louise Barnes | Nurse Practitioner | 123 E Baseline Rd Ste D205, Tempe, AZ 85283-1298 | 2007-05-02 |
| 1467069567 | Toni R Crawford-jonas | Nurse Practitioner | 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282-2692 | 2020-09-23 |
| 1699396648 | Brenda Sanchez | Nurse Practitioner | 1642 S Priest Dr Ste 101, Tempe, AZ 85281-6204 | 2020-04-30 |
| 1922647064 | Eugene Frances Grzywacz | Nurse Practitioner | 123 E Baseline Rd Ste D104, Tempe, AZ 85283-1291 | 2020-01-06 |
| 1346899440 | Karl Wick Pmhnp-bc LLC | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-09-10 |
| 1346895992 | James W Flint | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-08-09 |
| 1841850377 | Albert Kenneth Pierce Jr. | Nurse Practitioner | 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282-2692 | 2019-06-17 |
| Find all providers in TEMPE | ||||
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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.