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

Heather Jordan

Individual provider Family Nurse Practitioner · NPI 1104609965

Heather Jordan is a Nurse Practitioner in Longview, Texas. Qualified in 2023, 3 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

515 N 3rd St
Longview, TX 75601-6546
Phone: (903) 475-3474
Fax: (903) 367-0300
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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 1130883 (TX)

Record details

NPI number1104609965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address582 County Road 307, De Berry, TX 75639-3020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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