WILLIAM C JORDAN (NPI# 1720099518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720099518 |
| Entity Type | Individual |
| Full Name | WILLIAM C JORDAN |
| Practice Address |
613 Pelham Rd S Ste 2 Jacksonville AL 36265-2771 |
| Mailing Address |
Po Box 1162 Jacksonville AL 36265-5162 |
| Practice Telephone | 2562395662 |
| Practice Fax Number | 2562174162 |
| Mailing Telephone | 2562395662 |
| Mailing Fax Number | 2562174162 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
2879 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267862 | William Eriksen Jordan | Counselor | 2812 Drake Ave Sw, Huntsville, AL 35805-5122 | 2020-05-19 |
| 1245668516 | William Travis Jordan | Psychologist | 4037 Taylor Rd Ste C, Chesapeake, VA 23321-5500 | 2013-10-24 |
| 1437349420 | William Jefferson Jordan | Orthopaedic Surgery | 17450 St Lukes Way Ste 390, The Woodlands, TX 77384 | 2007-07-26 |
| 1346373214 | William Vascoe Jordan IIi | Dentist | 3501 Town Center Blvd S, Sugar Land, TX 77479-1285 | 2007-03-13 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1366474678 | William Jordan | Dentist | 18789 Sw Boones Ferry Rd, Ste 4, Tualatin, OR 97062-8412 | 2006-07-07 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1275940462 | William Jordan | Pharmacist | 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | 2014-07-19 |
| 1508197880 | William George Jordan IIi | Physical Therapist | 815 Freeport Rd, Pittsburgh, PA 15215-3301 | 2010-01-26 |
| Street Address |
613 PELHAM RD S STE 2 |
| City | JACKSONVILLE |
| State | AL |
| Zip Code | 36265-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361724 | Leah Simmons | Counselor | 613 Pelham Rd S Ste 2, Jacksonville, AL 36265-2771 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
| 1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
| 1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
| 1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
| 1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
| 1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
| 1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
| 1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
| 1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
| Find all providers in zip 36265 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1831700848 | Anil Suthar | Counselor | 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 | 2020-08-12 |
| 1700496494 | Debra Jones Lewis | Counselor | 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 | 2020-08-06 |
| 1992356117 | Nicole Wojcik | Counselor | 221 New Bridge St, Jacksonville, NC 28540-4736 | 2019-09-28 |
| 1700435401 | Lori Svendsen Brown | Counselor | 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 | 2019-09-05 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1144708157 | Anastasia Marie Judge-arauz | Counselor | 187 Howard Rd, Jacksonville, NC 28540-9332 | 2018-08-01 |
| 1720593072 | Cherae Miles | Counselor | 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 | 2017-12-08 |
| 1083127476 | Heather Watkins | Counselor | 113 Philip St, Jacksonville, TX 75766-3781 | 2017-11-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 36265 |
Please comment or provide details below to improve the information on WILLIAM C 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.