Jess E Jordan (NPI# 1285042259, PAC ID# 8729300520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285042259 |
| PAC ID by PECOS | 8729300520 |
| Professional Enrollment ID | I20141205001239 |
| Full Name | Jess E Jordan |
| Organization Legal Name | CLARKSVILLE MEDICAL GROUP, P.A. |
| Address |
601 W Mckennon St Clarksville AR 72830-3523 |
| Phone Number | 4797548384 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254405970 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 W Mckennon St, Clarksville, AR 72830-3523 | 4797548384 | CLARKSVILLE MEDICAL GROUP, P.A. |
| Organization Legal Name | CLARKSVILLE MEDICAL GROUP, P.A. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan K Gateley | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Catherine S Miranda | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Mary Janell Burch | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| John C Dunham | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Sarah M Woodruff | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Street Address |
601 W MCKENNON ST |
| City | CLARKSVILLE |
| State | AR |
| Zip | 72830-3523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan K Gateley | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Catherine S Miranda | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Mary Janell Burch | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| John C Dunham | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Sarah M Woodruff | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca King | Optometry | 210 W Main St, Clarksville, AR 72830-3019 | |
| Richard L Mcdougal | Ophthalmology | 709 W Main St, Clarksville, AR 72830-3410 | |
| Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
| Consuella R Flurry | Physical Therapy | 112 S Fulton St, Clarksville, AR 72830-3612 | |
| Allison Hall | Optometry | 1 Colonial Sq, Clarksville, AR 72830-3633 | |
| Jonna G Webb | Physician Assistant | 201 S Rogers St, Clarksville, AR 72830-3739 | |
| Richard Boardman | Speech Language Pathologist | Boardman Speech Pathology Inc | 129 E Poplar St, Home Office, Clarksville, AR 72830-4212 |
| Maranda Hickey | Nurse Practitioner | Johnson Regional Medical Center | 1100 E Poplar St A, Clarksville, AR 72830-4419 |
| Karen Michelle Branch | Nurse Practitioner | Johnson Regional Medical Center | 1100 E Poplar, Clarksville, AR 72830-4419 |
| Ma-ko Chen | Physical Medicine and Rehabilitation | Johnson Regional Medical Center | 1100 E Poplar C, Jrmc Provider Based Physicians, Clarksville, AR 72830-4419 |
| Find all physicians in zip 72830 | |||
| City | CLARKSVILLE |
| Zip Code | 72830 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLARKSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jess E Jordan.
| 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.