Individual
NICOLAS MICHAEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8004 DENTON HWY STE 108, WATAUGA, TX 76148-2469
(404) 436-6414
Mailing address
8004 DENTON HWY STE 108, WATAUGA, TX 76148-2469
(405) 436-6414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7132
OK
2084P0800X
Psychiatry Physician
OS22045
FL
2084P0800X
Psychiatry Physician
Primary
V6488
TX
Other
Enumeration date
05/06/2019
Last updated
06/09/2025
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