Active NPI
Labrittany J Jordan, FNP-C
- Family Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906757
- Practice address
- 1104 62ND St
Meridian, MS 39305-1255 - Phone
- (601) 934-1236
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0041240 | OH | |
| Family Nurse Practitioner | 363LF0000X | 906757 | MS | Primary |
| Family Nurse Practitioner | 363LF0000X | 9471793 | ID | |
| Family Nurse Practitioner | 363LF0000X | 1221416 | TX | |
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70119299-NP | WA |
Addresses
Primary practice location
1104 62ND St
Meridian, MS 39305-1255
Mailing address
1104 62ND St
Meridian, MS 39305-1255
Phone (601) 934-1236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX, OH, ID, CT, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1104 62ND St
Meridian, MS 39305-1255
200 Oceangate
Suite 100
Long Beach, CA 90802-4316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906757 | MS | MD | Family Nurse Practitioner |
| APRN.CNP.0041240 | OH | MD | Family Nurse Practitioner |
| 1221416 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438
3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042
115 Fairchild St
Ste 340
Daniel Island, SC 29492
Phone (843) 680-1943
5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265
1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787
Interoperability endpoints
- ljordan18870@direct-prd.molinahealthcare.com
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Long Beach, CA
- NPI 1407243223
CT, ID, MS, OH, SC, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1154142735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 62ND ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393051255",
"telephone_number": "601-934-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 62ND ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393051255",
"telephone_number": "601-934-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "LABRITTANY",
"middle_name": "J",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0041240",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906757",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "9471793",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1221416",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "ARNP.AP.70119299-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.