Individual provider Active NPI

Jess E Jordan, APRN

  • Family Nurse Practitioner
  • Clarksville, AR
National Provider Identifier
1285042259
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004157 Issued in AR
Practice address
601 W McKennon St
Clarksville, AR 72830-3523
Phone
(479) 754-8384
Fax
(479) 754-7141
NPI assigned
Jul 23, 2014
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004157 AR Primary

Addresses

Primary practice location

601 W McKennon St
Clarksville, AR 72830-3523

Mailing address

600 W Lucas St
Clarksville, AR 72830-4109
Phone (479) 754-8384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141205001239 AR Practitioner - Nurse Practitioner 8729300520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Medical Group, P.a.Group PAC ID 1254405970, 6 clinicians

Practice addresses (Care Compare)

601 W McKennon St
Clarksville, AR 72830-3523
Phone (479) 754-8384

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004157ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Emergency Physicians, PLLC CurrentSince Oct 1, 2015 Accepting new patients
Clarksville Medical Group, P.a. CurrentSince Aug 11, 2014 Accepting new patients
Clarksville Medical Group, P.a. CurrentSince Aug 11, 2014 Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince Oct 1, 2015 Accepting new patients
East Arkansas Emergency Physicians, PLLC Current Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1100 E Poplar St
Ste C
Clarksville, AR 72830
Phone (479) 754-5454

601 W McKennon St
Clarksville, AR 72830
Phone (479) 754-5393

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7504/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFHAA
  • Direct secure messaging: jess.jordan.1@7504.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1285042259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LUCAS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304109",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MCKENNON ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303523",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JESS",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.