Deadra Jordan, PMHNP-BC - Nurse Practitioner in Henderson, TX

Deadra Jordan, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Henderson, Texas. Deadra Jordan is licensed to practice in California (license number 95017044) and her current practice location is 13102 Fm 839 S, Henderson, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 343-6861.

NPI number for Deadra Jordan is 1366052805 and her current mailing address is Po Box 96, Avila Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366052805.

Contact Information

Deadra Jordan, PMHNP-BC
13102 Fm 839 S,
Henderson, TX 75654-6278
(903) 343-6861
Not Available

Map and Direction




Provider's Profile

Full NameDeadra Jordan
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location13102 Fm 839 S, Henderson, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366052805
  • Provider Enumeration Date: 08/07/2020
  • Last Update Date: 09/04/2024

Medical Identifiers

Medical identifiers for Deadra Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366052805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1014434 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95017044 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deadra Jordan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deadra Jordan, PMHNP-BC
Po Box 96,
Avila Beach, CA 93424-0096

Ph: (903) 343-6861
Deadra Jordan, PMHNP-BC
13102 Fm 839 S,
Henderson, TX 75654-6278

Ph: (903) 343-6861

Reviews and Comments


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