Individual
JORDAN ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1737 N CLYDE MORRIS BLVD STE 300, DAYTONA BEACH, FL 32117-5533
(386) 262-1627
Mailing address
1737 N CLYDE MORRIS BLVD STE 300, DAYTONA BEACH, FL 32117-5533
(386) 262-1627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9410928
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9410928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100175900
—
FL
Enumeration date
06/11/2018
Last updated
04/07/2026
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