Individual
JENNIFER LINDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9433 PARK HUNT CT, SPRINGFIELD, VA 22153-1364
(301) 642-5404
Mailing address
9433 PARK HUNT CT, SPRINGFIELD, VA 22153-1364
(301) 642-5404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184613
CO
163W00000X
Registered Nurse
RN1007817
DC
163W00000X
Registered Nurse
RN727829
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179751
VA
Other
Enumeration date
02/26/2009
Last updated
01/02/2026
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