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Contact Information

DIANA JORDAN, FNP-C
3211 N 4TH ST
LONGVIEW, TX75605
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DIANA JORDAN · (Female)

NPI # 1982055091
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 06/29/2016
Last updated 03/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 771214
  • TX License # AP131322
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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