TRACY MINCHEW JORDAN


Address: 2104 Loop Rd, Suite C, Winnsboro, LA 71295-3338
Phone: 3184354571

TRACY MINCHEW JORDAN (NPI# 1487926671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487926671
Entity Type Individual
Full Name TRACY MINCHEW JORDAN
Credential FNP
Practice Address 2104 Loop Rd
Suite C
Winnsboro
LA 71295-3338
Practice Telephone 3184354571
Practice Fax Number 3184357458
Mailing Telephone 3184354571
Mailing Fax Number 3184357458
Enumeration Date 2012-02-02
Last Update Date 2012-02-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APO6744 LA Physician Assistants & Advanced Practice Nursing Providers

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1265726319 Tracy Jordan Pharmacist 1845 Grandstand Pl Ste 300, Genoa Healthcare 106, Elgin, IL 60123-4987 2011-06-07
1700428737 Tracy Jordan Psychologist 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 2019-10-10
1063880664 Tracy A. Jordan Counselor 2711 W 15th St, Panama City, FL 32401-1366 2015-09-13
1205176708 Tracy Denice Jordan Dental Assistant 3101 Burnet Ave, Cincinnati, OH 45229-3014 2013-02-20
1366503518 Tracy W Jordan Physical Therapist 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 2006-12-12
1770672297 Tracy Jordan Social Worker 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061-3557 2006-10-12

Office Location

Street Address 2104 LOOP RD
SUITE C
City WINNSBORO
State LA
Zip Code 71295-3338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225097090 Jean Anne Black Social Worker 2104 Loop Rd, Suite C, Winnsboro, LA 71295-3338 2006-03-21
1568833150 Chasity N Adkins Nurse Practitioner 2104 Loop Rd, Ste C, Winnsboro, LA 71295-3341 2015-10-08
1740310754 Jeffrey John Combetta Family Medicine 2104 Loop Rd, Suite C, Winnsboro, LA 71295-3338 2007-03-07
1558404905 Vernon T. Baldwin, M.d.,p.c. Clinic/Center 2104 Loop Rd, Suite E, Winnsboro, LA 71295-3338 2007-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295365963 Allyson Maxwell Speech-Language Pathologist 2330 Hwy La 15, Winnsboro, LA 71295 2020-01-22
1326564311 Geaux Fit of La LLC Physical Therapist 3630 Front St, Winnsboro, LA 71295 2017-08-21
1407372220 Pauline T Powell Case Manager/Care Coordinator 920 Maple St, Winnsboro, LA 71295 2017-08-15
1831613801 Desi D Hoard Counselor 2513 Martin Dr., Winnsboro, LA 71295 2017-08-01
1174975213 Tanya Grant Case Manager/Care Coordinator 2411 Gary St, Winnsboro, LA 71295 2016-07-12
1285085050 Casey Ryan Physical Therapist 6340 Hwy 4, Winnsboro, LA 71295 2016-06-23
1003264649 Ta'erica Manuel Counselor 1113 Lavender Dr, Winnsboro, LA 71295 2016-05-24
1073969168 Ladill Majors Counselor 1459 Highway 618, Winnsboro, LA 71295 2016-05-09
1386090587 Lakeisha Crockett Case Manager/Care Coordinator 2406c West St, Winnsboro, LA 71295 2016-05-06
1982064069 Refford Oliver Sr. Counselor 2406 West St, Winnsboro, LA 71295 2016-03-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356757140 Jacob Winton Shaw Nurse Practitioner 213 W Liberty St, Winnsboro, SC 29180-1421 2014-07-01
1619534864 Christy M Shelton Nurse Practitioner 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 2019-05-23
1033626643 Ashley Elizabeth Hammons Nurse Practitioner 719 W Coke Rd, Winnsboro, TX 75494-3011 2018-01-04
1922294875 Paula Ann Smith Nurse Practitioner 880 W Moultrie St, Suite 200, Winnsboro, SC 29180-2411 2007-09-24

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1023620259 Caroline Hebert Nurse Practitioner 1297 Saint Charles St Ste H, Houma, LA 70360-2869 2020-08-19
1548871577 Jacob M Theriot Nurse Practitioner 2640 County Club Rd., Lake Charles, LA 70605 2020-08-13
1124638036 Kimberly Roshelle Coney Nurse Practitioner 62112 Bennett Rd, Roseland, LA 70456-1706 2020-08-05
1356951396 Advance Clinical Associates LLC Nurse Practitioner 2505 Cypress Springs Ave, Ruston, LA 71270-5109 2020-08-05
1487264594 Neely Primary Nurse Practitioner 102 Independence Blvd, Lafayette, LA 70506-6085 2020-08-04
1225648629 Indria Kendrick Nurse Practitioner 62 Creduer Rd, Pineville, LA 71360-9165 2020-07-31
1770192171 Celeste Woodard Brown Nurse Practitioner 751 Bayou Pines East Dr Ste L, Lake Charles, LA 70601-7196 2020-07-31
1306455498 Headache Center Nola, LLC Nurse Practitioner 2221 Clearview Pkwy Ste 203, Metairie, LA 70001-2497 2020-07-24
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Competitor

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City WINNSBORO
Zip Code 71295

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Dataset Information

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.

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