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

Mr. Charles Raymond Jordan, FNP

Individual provider Family Nurse Practitioner · NPI 1306126263

Mr. Charles Raymond Jordan, FNP is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2011, 15 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1350 Sunset Dr Ste B
Grenada, MS 38901-4079
Phone: (662) 466-3632
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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 R869908 (MS)

Record details

NPI number1306126263
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 24, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Grenada