Traypaniel Theodore Jordan, MBA, BSN, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN9494078 Issued in FL

Practice address

3895 Cedar Bluff LN
Jacksonville, FL 32226-5900

Phone

(813) 846-8251

NPI assigned

Jan 21, 2021

Sex

Male

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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Business Administration, Registered Nurse

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1770173940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 CEDAR BLUFF LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265900",
            "telephone_number": "813-846-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 CEDAR BLUFF LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322265900",
            "telephone_number": "813-846-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TRAYPANIEL",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "credential": "MBA, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9494078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa B Jordan, A.P., DAHM, DIPL OM
• Patrinya Jordan
• Quinton L Jordan
• Robert Lance Jordan
• Sandra Jordan
• Valerie Jordan
• Vikki Jordan
• Stephanie Lynne Jordon, ARNP-BC
• Julie Ann Jorgenson, APRN
• Helen Jorn, MD

• Emergency Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Emergency Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.