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

Constance Renee Jordan, MD

Individual provider Pediatrics Physician · NPI 1184005159

Constance Renee Jordan, MD is a Pediatric Medicine in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Barclay Ave NE
Grand Rapids, MI 49503-2556
Phone: (616) 391-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301104546 (MI)

Record details

NPI number1184005159
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESJune 15, 2015
Mailing address330 Barclay Ave Ne, Grand Rapids, MI 49503-2556

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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