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Deadra Jordan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Dallas, Texas
NPI 1366052805

Deadra Jordan is a Psychiatric/Mental Health Nurse Practitioner based in Dallas, TX and is specialized in Psychiatric/Mental Health. Deadra Jordan practices in Dallas, TX and has the professional credentials of PMHNP-BC. The NPI Number for Deadra Jordan is 1366052805 and holds a License No. 1014434 (Texas).

The current practice location address for Deadra Jordan is 5995 Summerside Dr Unit 795142, Dallas, TX and can be reached out via phone at 903-343-6861.

Location: 5995 Summerside Dr Unit 795142, Dallas, TX, 75379-0095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366052805
Provider Name
Deadra Jordan
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5995 Summerside Dr Unit 795142, Dallas, TX, 75379-0095
Phone Number
903-343-6861
Fax Number
Provider Enumeration Date
08/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5995 Summerside Dr Unit 795142
City
Dallas
State
Texas
Zip
75379-0095
Phone Number
903-343-6861
Fax Number
person
Provider Business Mailing Address Details
Address
5995 Summerside Dr Unit 795142
City
Dallas
State
Texas
Zip
75379-0095
Phone Number
903-343-6861
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1014434 (Texas)
Definition
Definition to come...
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