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Ms. Jackie D Jordan

Addiction Psychologist (Substance Use Disorder)

3700 N Classen Blvd Suite C-55
Oklahoma City , Oklahoma 73118-2872

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Ms. Jackie D Jordan

Addiction Psychologist (Substance Use Disorder)

3700 N Classen Blvd Suite C-55
Oklahoma City , Oklahoma 73118-2872

(405) 605-0879

Write a Review Save Call

Ms. Jackie D Jordan

Addiction Psychologist (Substance Use Disorder)

3700 N Classen Blvd Suite C-55
Oklahoma City , Oklahoma 73118-2872

(405) 605-0879 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Psychologist (Substance Use Disorder)

Languages spoken

  • English

Location

3700 N Classen Blvd Suite C-55 Oklahoma City , Oklahoma 73118-2872

First Address

  • Ms. Jackie D Jordan
  • 3700 N Classen Blvd Suite C-55
  • Oklahoma City, OK
  • Zip : 73118-2872
  • Fax : (405) 605-0879
  • Phone : (405) 605-0881

Second Address

  • Ms. Jackie D Jordan
  • 3700 N Classen Blvd Suite C-55
  • Oklahoma City, OK
  • Zip : 73118-2872
  • Fax : (405) 605-0879
  • Phone : (405) 605-0881

Reviews

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FAQs


Where did Ms. Jackie D Jordan attend graduate school?

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Where did Ms. Jackie D Jordan do her residency?

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Where did Ms. Jackie D Jordan do her fellowship?

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Is Ms. Jackie D Jordan board certified?

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What type of doctor is Ms. Jackie D Jordan

Addiction Psychologist (Substance Use Disorder)

In what state does Ms. Jackie D Jordan practice in?

Oklahoma

Where is Ms. Jackie D Jordan ’s practice located?

3700 N Classen Blvd Suite C-55 , Oklahoma City, Oklahoma, 73118-2872

What is Ms. Jackie D Jordan ’s gender?

Female

Is Ms. Jackie D Jordan a sole practitioner?

No

Is Ms. Jackie D Jordan accepting new patients?

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What languages does Ms. Jackie D Jordan speak?

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Does Ms. Jackie D Jordan accept insurance?

Yes, Ms. Jackie D Jordan accepts insurance

Does Ms. Jackie D Jordan offers telemedicine?

Ms. Jackie D Jordan has not indicated if she offers telemedicine

What is Ms. Jackie D Jordan ’s professional license number?

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What is Ms. Jackie D Jordan ’s NPI number?

1114263001

Does Ms. Jackie D Jordan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TA0400X Addiction Psychologist (Substance Use Disorder) 490 OK

National Provider Identifier

NPI 1114263001
Provider Name Ms. Jackie D Jordan
First Address Oklahoma City, OK 73118-2872
Second Address Oklahoma City, OK 73118-2872
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 20/12/2012
Last Update Date 20/12/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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