Dorene Yvonne Jordan, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.002868 Issued in IL

Practice address

5600 W Fullerton Ave
Chicago, IL 60639-2305

Phone

(224) 225-0279

Fax

(224) 225-0384

NPI assigned

Nov 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1417284456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392305",
            "telephone_number": "224-225-0279",
            "fax_number": "224-225-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392305",
            "telephone_number": "224-225-0279",
            "fax_number": "224-225-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DORENE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.002868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jordan, ST
• Charlo Jordan
• Christie Hwang Jordan, L.AC., DIPL.AC.,MSOM
• Corinne Jordan, DPT
• Delaura A Jordan
• E. Hilary Jordan, MA, LCSW
• Illana Cathleen Jordan, LCSW
• Irma L Jordan, DNP, FNP/PMHNP-BC
• Jasmine M Jordan
• Kayla Jordan, MA, CCC-SLP

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.