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

Alta Jordan, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1457702144

Alta Jordan, AGACNP is an Acute Care Nurse Practitioner in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016

Practice location Address checks out

1655 Bernardin Ave Ste 220
Columbia, SC 29204-2044
Phone: (803) 409-7170
Fax: (803) 409-7175
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 20190 (SC)

Record details

NPI number1457702144
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

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