Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACKIE D JORDAN, MA, LADC
Active Sole ProprietorMS. JACKIE D JORDAN, MA, LADC is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1114263001 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1114263001
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2012 (13.636265774011 yrs)
- Last Updated
- Dec 20, 2012
- License
-
490 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3700 N CLASSEN BLVDSUITE C-55OKLAHOMA CITY, OK, 731182872Browse OK providers · Browse ZIP 73118
- Phone
- 4056050881
- Fax
- 4056050879
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
Other Addiction (Substance Use Disorder) Psychologist Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE JARVIS SHAW | PSYD | 1457509739 |
| MRS. MONICA RIZZUTO CRAIN | MS | 1750651386 |
| MR. RASHAWN T MANCE | BACHELOR GRADUATE | 1679811624 |
| JOHN WALLS | — | 1114339348 |
| WALTER E COOPER | RECOVERY TECHNICIAN | 1518458439 |
| DR. TIMOTHY JAMES RANDALL LITTLE | PH.D. | 1730806696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.