Mrs Lenise Marlena Jordan, NP-C is a medicare enrolled "Nurse Practitioner - Family" in South Fulton, Georgia. Her current practice location is
6085 Old National Hwy Ste G, South Fulton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(844) 644-4325.
Mrs Lenise Marlena Jordan is licensed to practice in Georgia (license number RN162420) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639595309.
Provider's Profile
| Full Name | Mrs Lenise Marlena Jordan |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 6085 Old National Hwy Ste G, South Fulton, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lenise Marlena Jordan attended and graduated from in
NPI Data:
- NPI Number: 1639595309
- Provider Enumeration Date: 03/05/2014
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Lenise Marlena Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639595309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN162420 (Georgia) | 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. Mrs Lenise Marlena Jordan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lenise Marlena Jordan, NP-C
6085 Old National Hwy Ste G,
South Fulton, GA 30349-4333
Ph: (844) 644-4325 | Mrs Lenise Marlena Jordan, NP-C
6085 Old National Hwy Ste G,
South Fulton, GA 30349-4333
Ph: (844) 644-4325 |
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