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

Jordan Diane Forman, APRN

Individual provider Family Nurse Practitioner · NPI 1023661048

Jordan Diane Forman, APRN is a Nurse Practitioner in Reno, Nevada. Qualified in 2019, 7 years ago. Practices with Northern Nevada HIV Outpatient Program Education and Services, a 38-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

580 W 5th St
Reno, NV 89503-4407
Phone: (775) 786-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 495 Apple St Ste 100, Reno, NV 89502-3527 — (775) 525-0270
  • 1905 E 4th St, Reno, NV 89512-3789 — (775) 786-4673
  • 6110 Plumas St, Reno, NV 89519-6076 — (775) 786-6880

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 821587 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 821587 (NV)

Record details

NPI number1023661048
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northern Nevada Hiv Outpatient Program Education And Services — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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