Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA E JORDAN FNP-C
NPI 1417318775
Nurse Practitioner in West Columbia, SC

Q: What is Tina Jordan's NPI number?

The NPI number for Tina Jordan is 1417318775. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Q: What is Tina Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Jordan was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 March 15, 2016

146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169(803) 936-3300 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2019, Apr 9, 2019, Mar 18, 2016 (3 updates tracked since 2016).

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About Tina E Jordan Fnp-c NPPES

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

TINA E JORDAN FNP-C (NPI 1417318775) is an individual nurse practitioner in West Columbia, South Carolina, licensed in South Carolina (22875) and active in the NPI registry since March 2016. She maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1417318775

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTINA E JORDANCredential: FNP-C

Location Address146 E HOSPITAL DR STE 400West Columbia, SC 29169-4800

Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330

Phone(803) 936-3300

Sole ProprietorNo

Enumeration DateMarch 15, 2016

Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1417318775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in SC · 22875✔ Licensed in FL · APRN9409068

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

146 E HOSPITAL DR STE 400, West Columbia, SC 29169

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Secondary Practice Location 1

Location 13 Richland Medical Park Dr Ste 120Columbia, SC 29203-6850 · Phone (803) 434-8866 · Fax (803) 933-3049

Other Identifiers 2

Medicaid016957700FL

OtherIQ167ZFL · Medicare

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.

AMANDA J THOMPSON PA-C

Physician Assistant (Medical)