Vernon Jordan, is a
Community Health Worker based in Little Rock, Arkansas. Vernon Jordan is licensed to practice in * (Not Available) (license number ) and his current practice location is
74 Westminister Dr, Little Rock, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 414-8224.
NPI number for Vernon Jordan is 1447607999 and his current mailing address is Po Box 13624, Maumelle, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447607999.
Healthcare Provider's Profile
| Full Name | Vernon Jordan |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 74 Westminister Dr, Little Rock, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447607999
- Provider Enumeration Date: 05/14/2016
- Last Update Date: 05/14/2016
Medical Identifiers
Medical identifiers for Vernon Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447607999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vernon Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vernon Jordan,
Po Box 13624,
Maumelle, AR 72113-0624
Ph: (501) 414-8224 | Vernon Jordan,
74 Westminister Dr,
Little Rock, AR 72209-2949
Ph: (501) 414-8224 |
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