| Jordan January, FNP | |
|
203 Nacogdoches St Ste 275, Jacksonville, TX 75766-2444 | |
| (903) 541-5460 | |
| Not Available |
| Full Name | Jordan January |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 203 Nacogdoches St Ste 275, Jacksonville, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659978021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP145054 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 375 |
| Ut East Texas Urgent Care Centers, Pllc | 7517385388 | 33 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Entity Name | UT East Texas Urgent Care Centers, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356974281 PECOS PAC ID: 7517385388 Enrollment ID: O20200910000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan January, FNP 203 Nacogdoches St Ste 275, Jacksonville, TX 75766-2444 Ph: (903) 541-5460 | Jordan January, FNP 203 Nacogdoches St Ste 275, Jacksonville, TX 75766-2444 Ph: (903) 541-5460 |
Amanda Michelle Walsh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Commerce St, Jacksonville, TX 75766 Phone: 903-535-9041 |
Mr. Jacob Martin Cabrera, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4500 |
Mrs. Traci Cameron, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766 Phone: 903-541-5455 Fax: 903-541-5456 |
Crystal Christopher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 E Loop 456, Jacksonville, TX 75766 Phone: 903-721-7445 |
Deborah Garganera Ledesma, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 E Commerce St, Jacksonville, TX 75766 Phone: 903-535-9041 |
Pamela D Mackay, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 |
Victoria O Obianwu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1602 S Jackson St, Jacksonville, TX 75766 Phone: 430-205-4150 |