Marshall Family Practice Clinic, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

509147 Issued in TX

Legal business name

MARSHALL FAMILY PRACTICE CLINIC, PLLC

Practice address

601 S Winfree St
Dayton, TX 77535-2945

Phone

(936) 257-1102

Fax

(936) 257-1109

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Betty Jo Jordan, APNNPI 1902974728

Title

Nurse Practitioner

Phone

(936) 257-1102

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Jo Jordan, APN

  • Family Nurse Practitioner
  • Dayton, TX
  • NPI 1902974728
  Authorized official Same address or phone

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1902073208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352945",
            "telephone_number": "936-257-1102",
            "fax_number": "936-257-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352945",
            "telephone_number": "936-257-1102",
            "fax_number": "936-257-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL FAMILY PRACTICE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "936-257-1102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "509147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Butler Loeb, LPC
• Kiara Lofton
• Tangye Lundy, RN
• John W Macdonald, MD
• Mae Flowers Home Care
• Ileana Lizeth Martinez, NP
• Michelle McElhaney
• Thomas Michael McFall, DPT
• Manuela Medrano
• Medstaffpc

• Family Nurse Practitioner in Dayton, TX
• Providers in Dayton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.