Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Shannon Nichole Jordan, FNP-C

Individual provider Family Nurse Practitioner · NPI 1629812771

Mrs. Shannon Nichole Jordan, FNP-C is a Family Nurse Practitioner in Olive Branch, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6915 Crumpler Blvd Ste C
Olive Branch, MS 38654-1907
Phone: (662) 874-5929
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4698 Riva Ridge Dr, Olive Branch, MS 38654-2010 — (662) 816-8895

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906721 (MS)

Record details

NPI number1629812771
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients125
Services billed 731 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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