# JORDAN FAMILY CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518467976
- **Authorized official:** RHODA STEVENS APRN, FNP-BC (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (817) 612-1551

## Contact information

- **Practice address:** 6801 MCCART AVE, STE 109, FORT WORTH, TX 76133-6135
- **Practice address phone:** (817) 612-1551
- **Practice address fax:** (817) 720-9989
- **Mailing address:** 6080 S HULEN ST STE 360, PMB 198, FORT WORTH, TX 76132-4810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 10/07/2023