Jordan Dale Terry, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200928 Issued in OK

Practice address

1125 N Porter Ave Ste 200
Norman, OK 73071-6443

Phone

(405) 579-4673

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

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

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1922691807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-579-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 200",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-579-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 E Reno Ave",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731102109",
            "country_code": "US",
            "telephone_number": "405-528-0048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JORDAN",
        "middle_name": "DALE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry D. Blackburne, DDS, MSD, Inc
• Terry Gile DO PC
• Terry S Abercrombie Crna PC
• Allison Bell Terry
• Carol A. Terry, PH.D.
• Michelle L Terry, MS CCC/SLP
• Valerie Lynn Terry
• Dwight L Thacker, CRNA
• Samantha Thai, DO
• Angela Jeanette Thayer

• Family Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.