VERNON O. JORDAN CHW 1 – NPI #1053195511
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

NPI Profile
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VERNON JORDAN is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1053195511 to VERNON JORDAN on August 24, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VERNON JORDAN below.

NPI Profile for
VERNON O. JORDAN

NPI Number

1053195511

Enumeration Date

Aug 24, 2023
(about 3 years ago)

Entity Type

Type-1 Individual (Male)

Legal Name

VERNON O. JORDAN

Credentials

CHW 1

Primary location

5860 S PECOS RD STE 200
LAS VEGAS, NV 89120-5429

Phone: (702) 780-1313

Mailing address

11035 LAVENDER HILL DRIVE
BLDG. 160 STE. 349
LAS VEGAS, NV 89135

Phone: (702) 213-2007

Sole Proprietor

Yes

Updated

Aug 24, 2023

Certification Date

Aug 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
207Q00000X - Family Medicine (Primary)	NV	CHW1
207QA0000X - Family Medicine / Adolescent Medicine	NV	CHW1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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