Dorothy Henry Jordan, R.N., PMHCNS-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN061785 Issued in GA

Practice address

1920 Braircliff Road NE
Marcus Autism Center
Atlanta, GA 30329-4010

Phone

(404) 785-9420

Fax

(404) 785-9410

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1063644672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 EDISON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054309",
            "telephone_number": "404-963-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BRAIRCLIFF ROAD NE",
            "address_2": "MARCUS AUTISM CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294010",
            "telephone_number": "404-785-9420",
            "fax_number": "404-785-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DOROTHY",
        "middle_name": "HENRY",
        "credential": "R.N., PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN061785",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN061785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Jordak
• Adrienne C Jordan, D.O.
• Ashley Jordan
• Chekesha M Jordan, D.O
• Diamond Brianna Jordan
• Elizabeth Highsmith Jordan, ACNP
• Heather Jordan
• Jesse Jordan
• Katrina Tolliver Jordan, LPN
• Kayla Jordan, CRC, NCC

• Psychiatric/Mental Health Clinical Nurse Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.