Individual provider Active NPI

Jordan Parkin, APRN

  • Primary Care Nurse Practitioner
  • Debary, FL
National Provider Identifier
1952281271
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11042085 Issued in FL
Practice address
2836 Enterprise Rd
Debary, FL 32713-5210
Phone
(386) 951-4538
NPI assigned
Sep 5, 2025
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11042085 FL Primary

Addresses

Primary practice location

2836 Enterprise Rd
Debary, FL 32713-5210

Mailing address

5929 Boggs Ford Rd
Port Orange, FL 32127-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11042085FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Care Inc Family Medicine CurrentSince Jul 25, 2026 Accepting new patients

Locations

2836 Enterprise Rd
Ste 4
Debary, FL 32713
Phone (386) 668-9600

978 International Pkwy
Ste 1440
Lake Mary, FL 32746
Phone (407) 391-3131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1952281271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BOGGS FORD RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISE RD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135210",
            "telephone_number": "386-951-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKIN",
        "first_name": "JORDAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11042085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.