| Mrs Diana Jordan, FNP-C | |
|
1101 Baylor Dr, Longview, TX 75601-4410 | |
| (903) 238-3000 | |
| Not Available |
| Full Name | Mrs Diana Jordan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1101 Baylor Dr, Longview, 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 |
|---|---|---|---|
| 1982055091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 771214 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP131322 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elite Home Health | Longview, TX | Home health agency |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carebridge Medteam, Llc | 0547795031 | 5 |
| Wound Management Specialists Llc | 5193056364 | 123 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| 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 | Healthcare Plus Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20231108000485 |
| Entity Name | Carebridge Medteam, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013741420 PECOS PAC ID: 0547795031 Enrollment ID: O20241120002889 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana Jordan, FNP-C 4002 Technology Ctr, Longview, TX 75605-2697 Ph: (903) 247-0484 | Mrs Diana Jordan, FNP-C 1101 Baylor Dr, Longview, TX 75601-4410 Ph: (903) 238-3000 |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |