Individual provider · Type 1 NPI
Diana Jordan, FNP-C
Family Nurse Practitioner · Longview, TX
NPI number
1982055091
Active
Practice location
1101 Baylor Dr
Longview, TX 75601-4410
Mailing address
4002 Technology Ctr
Longview, TX 75605-2697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 771214 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP131322 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982055091
Diana Jordan, FNP-C's National Provider Identifier is 1982055091, issued on Jun 29, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Longview, TX. The record was last updated on Mar 23, 2017.