Elizabeth A Jordan, LPC, RN, CRNP, PMHNP is a medicare enrolled "Counselor - Professional" in Philadelphia, Pennsylvania. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jefferson University Physicians and her current practice location is
8001 State Road, Mod Ii, Suite 107, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 624-0790.
Elizabeth A Jordan is licensed to practice in Pennsylvania (license number PC005713) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336428176.
Provider's Profile
| Full Name | Elizabeth A Jordan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 8001 State Road, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Elizabeth A Jordan graduated from nursing school in 2018
NPI Data:
- NPI Number: 1336428176
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 10/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244636819
- Enrollment ID: I20210907001945
Medical Identifiers
Medical identifiers for Elizabeth A Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336428176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN662315 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP019102 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC005713 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Jefferson University Physicians | 7911819180 | 1569 |
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. Elizabeth A Jordan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Elizabeth A Jordan, LPC, RN, CRNP, PMHNP 8001 State Road, Mod Ii, Suite 107, Philadelphia, PA 19136 Ph: (215) 624-0790 | Elizabeth A Jordan, LPC, RN, CRNP, PMHNP 8001 State Road, Mod Ii, Suite 107, Philadelphia, PA 19136 Ph: (215) 624-0790 |
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