Individual
JORDAN NICHOLE REPPOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6151 S YALE AVE, TULSA, OK 74136-1907
(918) 494-8500
(918) 307-5578
Mailing address
1325 SAN MARCO BLVD STE 300, JACKSONVILLE, FL 32207-8567
(904) 253-6910
(904) 253-6964
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
222458
OK
363LA2100X
Acute Care Nurse Practitioner
APRN11010199530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114311300
—
FL
Enumeration date
04/29/2022
Last updated
09/16/2025
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