Active NPI
Crystal Jordan, FNP
- Family Nurse Practitioner
- Slidell, LA
National Provider Identifier
1558294785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 243168
- Practice address
- 1051 Gause Blvd
Slidell, LA 70458-2951 - Phone
- (985) 641-7577
- NPI assigned
- Jun 6, 2026
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3-002718 | AL | |
| Family Nurse Practitioner | 363LF0000X | 243168 | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | 907727 | MS |
Addresses
Primary practice location
1051 Gause Blvd
Slidell, LA 70458-2951
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2451
Phone (504) 842-3000
Other practice location 1
18496 Sky Ln
Saucier, MS 39574-9686
Phone (234) 234-2557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-002718 | AL | MD | Family Nurse Practitioner |
| 243168 | LA | MD | Family Nurse Practitioner |
| 907727 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1558294785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212451",
"telephone_number": "504-842-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582951",
"telephone_number": "985-641-7577"
}
],
"practiceLocations": [
{
"address_1": "18496 Sky Ln",
"address_purpose": "LOCATION",
"city": "Saucier",
"state": "MS",
"postal_code": "395749686",
"country_code": "US",
"telephone_number": "234-234-2557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "CRYSTAL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-06",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-002718",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "243168",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.