Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandra Jordan

Individual provider Nurse Practitioner · NPI 1487151452

Sandra Jordan is a Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Arizona, Florida, Kansas and New Mexico and 3 more.

Licensed in
AZ, FL, KS, NM, NV, NY
In the registry since
2018
Specialties on file
8
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Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (214) 216-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP137018 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP137018 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 859505 (NV)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 272371 (AZ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 69618 (NM)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 81513 (KS)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 350694 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 11016221 (FL)

Record details

NPI number1487151452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2018
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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