Individual
JACQUITA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, AGACNP
Contact information
Practice address
1259 LAKE PLAZA DR STE 270, COLORADO SPRINGS, CO 80906-3560
(719) 653-7776
(719) 207-7783
Mailing address
10265 ROLLING RIDGE RD, COLORADO SPRINGS, CO 80925-9509
(719) 653-7776
(719) 726-0002
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
APN.0991885-NP
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0991885-NP
CO
363LA2200X
Adult Health Nurse Practitioner
0991885
CO
363LF0000X
Family Nurse Practitioner
Primary
0991885
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0991885-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42820065
—
CO
05
—
9000108092
—
CO
Enumeration date
09/18/2015
Last updated
02/12/2024
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