MS. CRYSTAL D JORDAN APRN
NPI 1750575064
Nurse Practitioner - Family in Tallahassee, FL

Active since August 29, 2007
1114 THOMASVILLE ROAD SUITE E-1, TALLAHASSEE, FL 32303(850) 771-5765(850) 779-4744 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Apr 5, 2023 (2 updates tracked since 2023).

About Ms. Crystal D Jordan Aprn NPPES

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

MS. CRYSTAL D JORDAN APRN (NPI 1750575064) is an individual family provider in Tallahassee, Florida, licensed in Florida (3017962) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1750575064
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CRYSTAL D JORDANCredential: APRN
Location Address1114 THOMASVILLE ROAD SUITE E-1Tallahassee, FL 32303
Mailing Address1114 Thomasville Road Suite E-1Tallahassee, FL 32303 · (850) 771-5765 · Fax (850) 779-4744
Fax(850) 779-4744
Sole ProprietorNo
Enumeration DateAugust 29, 2007
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
NPI 1750575064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · 3017962 Licensed in FL · ARNP3017962
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 3017962 (FL)
1114 THOMASVILLE ROAD SUITE E-1, Tallahassee, FL 32303

Other Names 1

Professional Name (2)Crystal Dawn Breland Arnp

Other Identifiers 2

Medicaid308624100FL
Other99388FL · Medicare Part B (group Association)

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 1750575064. It was assigned to this individual provider in the NPPES registry on August 29, 2007. The provider is also known as Crystal Dawn Breland Arnp.

Where is Crystal Jordan located?

Crystal Jordan practices at 1114 Thomasville Road Suite E-1, Tallahassee, FL 32303. The listed phone number is (850) 771-5765.

What is Crystal Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Crystal Jordan was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.