Diana Lynn Jordan (NPI# 1982055091, PAC ID# 3375825169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982055091 |
| PAC ID by PECOS | 3375825169 |
| Professional Enrollment ID | I20170201000429 |
| Full Name | Diana Lynn Jordan |
| Organization Legal Name | PHYNET INC |
| Address |
3211 N 4th St A Longview TX 75605-5145 |
| Phone Number | 9032470484 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527038298 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 3211 N 4th St A, Longview, TX 75605-5145 | 9032470484 | PHYNET INC |
| Organization Legal Name | PHYNET INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Ann Fried | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Tessa J Barton | Nurse Practitioner | Phynet Inc | 2019 A S Henderson Blvd, Suite 4, Kilgore, TX 75662-3565 |
| Heather R Grindle | Nurse Practitioner | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Terry H. Elders | Nurse Practitioner | Phynet Inc | 402 N Kaufman St, Linden, TX 75563-5234 |
| Tracy C Webster | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Robert C Mcdaniel | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Mary A Corley | Nurse Practitioner | Phynet Inc | 219 N Polk St, Jefferson, TX 75657-2131 |
| Cassandra L Ford | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Juan Raul Zapata | Family Medicine | Phynet Inc | 307 W Upshur Ave, Gladewater, TX 75647-2121 |
| Laura L Brown | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Street Address |
3211 N 4TH ST A |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-5145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Ann Fried | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Cassandra L Ford | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Laura L Brown | Nurse Practitioner | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Robert T. Tompkins | Internal Medicine | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Wayne N Leeves | Family Practice | Phynet Inc | 3211 N 4th St A, Longview, TX 75605-5145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.