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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639513294

Mrs. Brooke Leann Jordan, DO is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-3431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence Q8521 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 573164 (TX)

Record details

NPI number1639513294
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 24, 2013
Last updated in NPPESJuly 7, 2016

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