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

Mr. Robert Henry Jordan III, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1801501721

Mr. Robert Henry Jordan III, NURSEPRACTITIONER is a Nurse Practitioner in Stamford, Connecticut. Qualified in 2021, 5 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2023
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Practice location Address checks out

292 Long Ridge Rd Ste 104
Stamford, CT 06902-1627
Phone: (203) 276-8575
Fax: (203) 276-8576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 10452 (CT)

Record details

NPI number1801501721
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 16, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stamford