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

Jordan Emile Vidrine, SRNA

Individual provider Registered Nurse · NPI 1750129953

Jordan Emile Vidrine, SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Alexandria, Louisiana. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2024

Practice location Address checks out

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone: (318) 487-1122
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN156033 (LA)

Record details

NPI number1750129953
Entity typeIndividual (Type 1)
GenderMale
Credentials SRNA
Sole proprietorYes
NPI enumeratedJuly 20, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Alexandria