Nicolas Michael Jordan, is a
Psychiatry & Neurology - Psychiatry physician based in Watauga, Texas. Nicolas Michael Jordan is licensed to practice in Texas (license number V6488) and his current practice location is 8004 Denton Hwy Ste 108, Watauga, Texas. He can be reached at his office (for appointments etc.) via phone at
(404) 436-6414.
NPI number for Nicolas Michael Jordan is 1922663822 and his current mailing address is 8004 Denton Hwy Ste 108, Watauga, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922663822.
Physician's Profile
| Full Name | Nicolas Michael Jordan |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 8004 Denton Hwy Ste 108, Watauga, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922663822
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 06/09/2025
Medical Identifiers
Medical identifiers for Nicolas Michael Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922663822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7132 (Oklahoma) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS22045 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | V6488 (Texas) | Primary |
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. Nicolas Michael 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 |
|---|
Nicolas Michael Jordan,
8004 Denton Hwy Ste 108,
Watauga, TX 76148-2469
Ph: (405) 436-6414 | Nicolas Michael Jordan,
8004 Denton Hwy Ste 108,
Watauga, TX 76148-2469
Ph: (404) 436-6414 |
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