| Jordan Consulting Llc | |
|
119 Cobean Blvd Lake City AR 72437-8884 | |
| (870) 819-7075 | |
| Not Available |
| Full Name | Jordan Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 Cobean Blvd, Lake City, Arkansas |
| Authorized Official Name and Position | Christopher Jordan (OWNER) |
| Authorized Official Contact | 8708197075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Consulting Llc 1307 Ross Leighann Ln Lake City AR 72437-8990 Ph: () - | Jordan Consulting Llc 119 Cobean Blvd Lake City AR 72437-8884 Ph: (870) 819-7075 |
| NPI Number | 1851073308 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 7618323387 |
|---|---|
| Medicare Enrollment ID | O20231101001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851073308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Christopher Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306227434 PECOS PAC ID: 2264748292 Enrollment ID: I20150904001188 |
| Provider Name | Emily Renee Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154104206 PECOS PAC ID: 8426403387 Enrollment ID: I20231012000928 |
Arcare 65 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1009 Highway 18, Lake City, AR 72437 Phone: 870-237-9928 Fax: 978-327-7971 | |
Riverside Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 Hwy 18, Lake City, AR 72347 Phone: 870-237-1055 Fax: 870-237-1054 |