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CRYSTAL LYNN JORDAN APRN, NP, PMHNP-BC
NPI 1609482231
Nurse Practitioner - Psychiatric/Mental Health in Chatham, IL

Active since September 18, 2020
638 OAKBROOK AVE, CHATHAM, IL 62629(217) 553-2815 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Lynn Jordan Aprn, Np, Pmhnp-bc NPPES

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

CRYSTAL LYNN JORDAN APRN, NP, PMHNP-BC (NPI 1609482231) is an individual psychiatric/mental health provider in Chatham, Illinois, licensed in Illinois (209021748) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1609482231
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL LYNN JORDANCredential: APRN, NP, PMHNP-BC
Location Address638 OAKBROOK AVEChatham, IL 62629
Mailing AddressPo Box 522Chatham, IL 62629-0522 · (217) 553-2815
Phone(217) 553-2815
Sole ProprietorYes
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1609482231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IL · 209021748✔ Licensed in MO · 2020025752
638 OAKBROOK AVE, Chatham, IL 62629
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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 Crystal Jordan's NPI number?

The NPI number for Crystal Jordan is 1609482231. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Crystal Jordan located?

Crystal Jordan practices at 638 Oakbrook Ave, Chatham, IL 62629. The listed phone number is (217) 553-2815.

What is Crystal Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Jordan was last updated on September 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.