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VERNON ODELL JORDAN CHW 1
NPI 1053195511
Family Medicine in Las Vegas, NV

Active since August 24, 2023
5860 S PECOS RD STE 200, LAS VEGAS, NV 89120(702) 780-1313 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vernon Odell Jordan Chw 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERNON ODELL JORDAN CHW 1 (NPI 1053195511) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (CHW1) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1053195511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVERNON ODELL JORDANCredential: CHW 1
Location Address5860 S PECOS RD STE 200Las Vegas, NV 89120-5429
Mailing Address11035 Lavender Hill Drive, Bldg. 160 Ste. 349Las Vegas, NV 89135 · (702) 213-2007
Phone(702) 780-1313
Sole ProprietorYes
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1053195511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · CHW1
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License CHW1 (NV)
5860 S PECOS RD STE 200, Las Vegas, NV 89120
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vernon Jordan's NPI number?

The NPI number for Vernon Jordan is 1053195511. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Vernon Jordan located?

Vernon Jordan practices at 5860 S Pecos Rd Ste 200, Las Vegas, NV 89120. The listed phone number is (702) 780-1313.

What is Vernon Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vernon Jordan was last updated on August 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.