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

Jordan Roberson, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669965000

Jordan Roberson, PMHNP-C is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2017, 9 years ago. Practices with Kopa LLC, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

1737 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32117-5533
Phone: (386) 262-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9410928 (FL)

Record details

NPI number1669965000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorYes
NPI enumeratedJune 11, 2018
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kopa Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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