MR. JILL RENAE JORDAN
NPI 1053955997
Registered Nurse in Stillwater, OK

Q: What is Jill Jordan's NPI number?

The NPI number for Jill Jordan is 1053955997. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Q: What is Jill Jordan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Jordan was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2019

604 S WALNUT ST, STILLWATER, OK 74074(405) 372-2202(405) 445-3780 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jill Renae Jordan NPPES

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

MR. JILL RENAE JORDAN (NPI 1053955997) is an individual registered nurse in Stillwater, Oklahoma, licensed in Oklahoma (61740) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1053955997

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMR. JILL RENAE JORDAN

Location Address604 S WALNUT STStillwater, OK 74074-4222

Mailing Address604 S Walnut StStillwater, OK 74074-4222 · (405) 372-2202 · Fax (405) 445-3780

Phone(405) 372-2202

Fax(405) 445-3780

Sole ProprietorNo

Enumeration DateNovember 4, 2019

✔ NPI 1053955997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OK · 61740

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

604 S WALNUT ST, Stillwater, OK 74074

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DENISE MICHELLE WITHROW FSP

Case Manager/Care Coordinator