Individual
DEADRA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5214F DIAMOND HEIGHTS BLVD # 3422, SAN FRANCISCO, CA 94131-2175
(412) 818-0345
(903) 212-7839
Mailing address
13102 FM 839 S, HENDERSON, TX 75654-6278
(903) 343-6861
(903) 212-7839
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1014434
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95017044
CA
Other
Enumeration date
08/07/2020
Last updated
08/05/2025
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