Jordan Healthcare Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JORDAN HEALTHCARE CENTER, LLC

Practice address

800 College Hwy
Southwick, MA 01077-9690

Phone

(413) 695-6774

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Jordan, DNPNPI 1891185674

Title

Member/Owner

Phone

(413) 695-6774

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Jordan, DNP

  • Family Nurse Practitioner
  • Southwick, MA
  • NPI 1891185674
  NPD Authorized official
• Jessie Marie Fisher, NP

  • Family Nurse Practitioner
  • East Longmeadow, MA
  • NPI 1306577663
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1215673702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COLLEGE HWY",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "010779690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLLEGE HWY",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "010779690",
            "telephone_number": "413-695-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "413-695-6774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Hughes, RN
• International Health Solutions, Inc
• Jerome M. Azia D.D.S.,P.C.
• Catherine Johnson, RN, BSN, MSN
• Kelsey L Johnstone
• Jennifer L Jordan, DNP
• Constance K. Kellogg, LICSW
• Christianna Keough, DPT
• Kimberly Miller
• Arthur G King Jr., MD

• General Practice Physician in Southwick, MA
• Providers in Southwick, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.