TINA JORDAN FNP-C
NPI 1417318775
Nurse Practitioner in 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 September 20, 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 March 15, 2016

3 RICHLAND MEDICAL PARK DR STE 120, COLUMBIA, SC 29203(803) 434-8866(803) 933-3049 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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About Tina Jordan Fnp-c NPPES

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

TINA JORDAN FNP-C (NPI 1417318775) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (22875) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1417318775

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTINA JORDANCredential: FNP-C

Location Address3 RICHLAND MEDICAL PARK DR STE 120Columbia, SC 29203-6850

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

Phone(803) 434-8866

Fax(803) 933-3049

Sole ProprietorNo

Enumeration DateMarch 15, 2016

Last NPPES UpdateSeptember 20, 20193 updates tracked since enumeration

✔ 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.

3 RICHLAND MEDICAL PARK DR STE 120, Columbia, SC 29203

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Other Identifiers 2

OtherIQ167ZFL · Medicare

Medicaid016957700FL

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.

MR. BALBIR SINGH MINHAS MD

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