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

Emily Rachelle Jordan

Individual provider High-Risk Obstetric Registered Nurse · NPI 1699627646

Emily Rachelle Jordan is a Nurse Practitioner in Urbana, Illinois. Qualified in 2025, 1 year ago. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2026
Specialties on file
2

Practice location Address checks out

611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-3311
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 209034935 (IL)
High-Risk Obstetric Registered Nurse Taxonomy 163WX0002X · Licence 41497055 (IL)

Record details

NPI number1699627646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare