Heather Jordan, | |
515 N 3rd St, Longview, TX 75601-6546 | |
(903) 475-3474 | |
(903) 367-0300 |
Full Name | Heather Jordan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 515 N 3rd St, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104609965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1130883 (Texas) | Primary |
Entity Name | Wound Management Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20200610001466 |
Entity Name | Community Wound Resource Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851924625 PECOS PAC ID: 2860831948 Enrollment ID: O20240423000577 |
Mailing Address | Practice Location Address |
---|---|
Heather Jordan, 582 County Road 307, De Berry, TX 75639-3020 Ph: () - | Heather Jordan, 515 N 3rd St, Longview, TX 75601-6546 Ph: (903) 475-3474 |
Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769 | |
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222 | |
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948 | |
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396 | |
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave Ste 1002, Longview, TX 75601 Phone: 903-315-2032 Fax: 903-315-2719 | |
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656 | |
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222 |