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

Jay Chadwick Jordan Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295403087

Jay Chadwick Jordan Jr. is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021

Practice location Address checks out

7772 Riverside Pkwy Apt 202L
Tulsa, OK 74136-7693
Phone: (580) 318-4823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OK)

Record details

NPI number1295403087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2021
Last updated in NPPESSeptember 6, 2021
Certification dateSeptember 6, 2021
Mailing address7772 Riverside Pkwy Apt 202l, Tulsa, OK 74136-7693

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