Charlotte Joanne Jordan, MSN RN CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN07483600 Issued in NJ

Practice address

204 Grove Ave
Suite C
West Deptford, NJ 08086-2557

Phone

(856) 467-2009

NPI assigned

May 22, 2008

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)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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 and National Provider Directory roles.

• JSR Healthcare, PC

  • Clinic/Center
  • Swedesboro, NJ
  • NPI 1588745640
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1942467253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "address_2": "SUITE 108",
            "city": "BRIDGEPORT",
            "state": "NJ",
            "postal_code": "080140067",
            "telephone_number": "856-467-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "address_2": "SUITE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862557",
            "telephone_number": "856-467-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHARLOTTE",
        "middle_name": "JOANNE",
        "credential": "MSN RN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN07483600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspiring Change Nutrition LLC
• Imani A Jackson, PHARMD
• Beverly Jaiswal, DMD
• John J Gartland Jr MD PC
• Betsy Ann Johnston, LPN
• Youssef Josephson, D.O
• Coty Kalbach, PA-C
• Anthony Joseph Kash Jr., D.M.D,
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice, PC

• Adult Health Nurse Practitioner in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.