Drexel L Jordan, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AO1399 Issued in AR

Practice address

3000 Kavanaugh Blvd
Suite 300
Little Rock, AR 72205-3767

Phone

(501) 350-3055

NPI assigned

Oct 13, 2006

Last updated

Sep 9, 2009By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Gene W Reid MD PA

  • Geriatric Psychiatry Physician
  • Little Rock, AR
  • NPI 1457510539
  NPD (past)
• Nick Paslidis MD PA Central Arkansas Internal Medicine Consutling

  • Internal Medicine Physician
  • Carlilse, AR
  • NPI 1982737169
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1851481337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N SPRUCE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051956",
            "telephone_number": "501-350-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KAVANAUGH BLVD",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053767",
            "telephone_number": "501-350-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DREXEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "AO1399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynee Jones
• Zakira Jones
• David George Jong, MD
• Sarah Jong
• Cynthia A Jordan, MS, LPC
• Eliza Jordan
• Erika Antionette Jordan
• G Lynnette Jordan
• Mary Eve Jordan
• Randy A Jordan, MD

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.